Cataract surgery in children using intracameral mydriatic.
Indian J Ophthalmol
; 72(7): 1017-1020, 2024 Jul 01.
Article
en En
| MEDLINE
| ID: mdl-38454863
ABSTRACT
PURPOSE:
To study the pupil dynamics with premixed intracameral anesthetic mydriatic combination of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) in pediatric cataract surgery.METHODS:
Consecutive children aged ≤12 years planned for cataract surgery were recruited. A commercially available premixed combination of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) was injected at the beginning of surgery without any topical/infusion drugs for mydriasis. Pupil sizes at various points of surgery were studied.RESULTS:
We recruited 75 patients with a mean age of 24.3 ± 33.4 months (range 1 month-11 years). Adequate mydriasis with a single injection was achieved in 93.5% (n = 73 eyes of 70 patients) without additional pharmacotherapy or intervention. The mean pupillary diameter increased from 1.8 ± 0.79 to 6.1 ± 1.4 mm after injection (mean change of 4.2 ± 1.25 mm from baseline). The mean variability in pupillary diameter was 0.73 ± 1.3 mm. In five eyes, good dilatation was not possible even after repeat injection.CONCLUSION:
Fixed-dose premixed intracameral injection is effective in pupil dilatation. It alleviates the need for any topical dilators or additional intraoperative supplementation for pediatric cataract surgery.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Fenilefrina
/
Tropicamida
/
Extracción de Catarata
/
Pupila
/
Midriáticos
Idioma:
En
Revista:
Indian J Ophthalmol
/
Indian j. ophthalmol
/
Indian journal of ophthalmology
Año:
2024
Tipo del documento:
Article