EXPORT CITATION

Chapter-30 SICS in Small Pupil

BOOK TITLE: Small Incision Cataract Surgery (Manual Phaco)

Author
1. Singh SP
2. Mehrotra Parul
ISBN
9788184489804
DOI
10.5005/jp/books/11358_30
Edition
2/e
Publishing Year
2010
Pages
11
Author Affiliations
1. Regional Institute of Ophthalmology, MLN Medical College, Allahabad, India
2. GTB Hospital, New Delhi, India
Chapter keywords

Abstract

SlCS is difficult in cases of small pupil. There are many techniques for dilating small pupil either individually or in combination, e.g. mydriatic drugs, viscomydriasis, synechiolysis, membranectomy, laser photomydriasis, stretch pupilloplasty, iris hooks, ring dilators and iris surgery. In such cases capsulorhexis can be done by pull and push method, then hydrodissection should be done with minimal amount of BSS. Nucleus prolapse is done by bimanual technique. Nucleus can be removed by any method (e.g. irrigating vectis, sandwich, etc.). For IOL implantation, 2 types of viscoelastics, i.e. cohesive and adhesive are used. More inflammation is expected post operatively which is treated by steroids, cycloplegics and antiglaucoma medication.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved