Management of the Small/Mid dilated Pupil during Small Incision Cataract Surgery-Still a Challenge!?

Dr. G. Satyavathi M.S, Dr. D. Uday Kumar M.S, Dr. M. Parni Kumar

Abstract: A small pupil is a relatively common problem experienced during cataract surgery. It has been shown that about 1.6 % of cases will fall into this category. The small pupil can impede visualization and make instrumentation into the eye more difficult. Eyes complicated by Pseudoexfoliation (1) with small pupil likely to cause lot of intraoperative and postoperative complications. In the current study adrenaline mixed BSS has been used to get needed mydriasis during surgery.50 target patients attending to Govt. Gen. Hospital, Guntur, were operated with this and another 50 without applying this procedure (Controls). The results are compared. Simple Intra operative use of adrenaline mixed BSS is also effective when compared to procedures like costly mechanical stretching.

Keywords: Small pupil, Pseudoexfoliation syndrome, Adrenaline mixed BSS