Medical and surgical management of the small pupil during cataract surgery

Journal of Cataract and Refractive Surgery
Saba Al-HashimiASCRS Refractive Cataract Surgery Subcommittee

Abstract

As cataract surgery continues to evolve, the intraoperative small pupil continues to pose challenges to even the most experienced cataract surgeon. Several steps can be taken preoperatively to decrease the chance of intraoperative miosis. Even so, the problem of miosis during cataract surgery remains a relatively common occurrence. This paper discusses many steps, both preoperative and intraoperative, that can make surgery technically easier and safer, thus maximizing the postoperative outcomes and patient satisfaction. Complications associated with small-pupil cataract surgery, risk factors for intraoperative miosis, the preoperative and intraoperative management of the small pupil during cataract surgery, and postoperative care are reviewed.

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Citations

Nov 20, 2019·Current Opinion in Ophthalmology·Andrzej Grzybowski, Piotr Kanclerz
May 12, 2021·Japanese Journal of Ophthalmology·Ken HayashiAkira Hirata
Sep 29, 2021·Indian Journal of Ophthalmology·Harvey S UyKenneth R Kenyon
Oct 17, 2021·International Ophthalmology·Flore SalviatDamien Gatinel

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