Dr.Vanaja Vaithianathan, Dr.Arokiam John Bosco
Small pupils can result from pseudoexfoliation, chronic uveitis, chronic usage of eye drops (Pilocarpine), insufficient usage of dilating drops, old age etc. Whatever is the cause, performing cataract surgery through small pupil is a tough task, sometimes even a nightmare, especially when there are other odds like hazy cornea, hard brown cataract & zonular weakness. The video presentation aims at covering all the management options, possible for small pupil, including pharmocological & surgical.
The more conservative method like usage of intra cameral drugs (adrenaline & lignocaine), sphincterotomy, sector iridectomy, stretching the pupil with instruments, usage of iris hooks, the most technically advanced method using Malyugin ring are shown comprehensively. Management of small pupil with hard cataract, zonular weakness & corneal opacity are also shown. This presentation showing small pupil management in all situations is greatly beneficial to all basic & advanced cataract surgeon.