A paired comparison of intracameral mydriatics in refractive lens exchange surgery
- 27 August 2013
- journal article
- research article
- Published by Wiley in Acta Ophthalmologica
- Vol. 92 (5), 482-485
- https://doi.org/10.1111/aos.12256
Abstract
To compare the efficacy and intra-operative safety of intracameral mydriatics to topical mydriatics in patients undergoing refractive lens exchange (RLE) surgery. In a randomized intra-individually comparing study performed at Koskelas Eye Clinic, Luleå, and Department of Clinical Sciences/Ophthalmology, Umeå University Hospital, Umeå, Sweden, 56 patients undergoing same-day bilateral RLE were included. Pupils were randomly dilated with topical mydriatics in one eye and intracameral mydriatics in the fellow eye. Pupil sizes were recorded intra-operatively throughout the procedures. Perceived pain/discomfort and glare were assessed immediately postoperatively using a visual analogue scale from 0 to 10. Topical mydriatics and intracameral mydriatics both give satisfactory pupil dilation in routine RLE. However, there was noticeable iris billowing in 17 eyes dilated with topical mydriatics but only one eye with intracameral mydriatics (p < 0.001). Pupils were initially slightly larger in the topical mydriatics group but contracted during surgery. There was no perceived difference with regards to glare, pain or discomfort between the treatments. The surgeon graded intracameral mydriatics eyes as easier to operate on. Both topical mydriatics and intracameral mydriatics give satisfactory mydriasis for RLE, but pupil constriction and iris billowing are more pronounced with topical mydriatics.This publication has 23 references indexed in Scilit:
- Refractive lens exchange versus phakic intraocular lensesCurrent Opinion in Opthalmology, 2012
- Pharmacologic prophylaxis and risk factors for intraoperative floppy-iris syndrome in phacoemulsification performed by resident physiciansJournal of Cataract & Refractive Surgery, 2010
- Refractive Surgery Trends and Practice Style Changes in Germany Over a 3-year PeriodJournal of Refractive Surgery, 2010
- Is there a perioperative circulatory side effect of intracameral epinephrine in hypertensive patients undergoing phacoemulsification?Oman Journal of Ophthalmology, 2010
- Pupil size with and without adrenaline with diclofenac use before cataract surgeryJournal of Cataract & Refractive Surgery, 2009
- Separate and additive mydriatic effects of lidocaine hydrochloride, phenylephrine, and cyclopentolate after intracameral injectionJournal of Cataract & Refractive Surgery, 2008
- Intracameral mydriatics in phacoemulsification surgery obviate the need for epinephrine irrigationActa Ophthalmologica Scandinavica, 2007
- Intracameral mydriatics in phacoemulsification surgery obviate the need for epinephrine irrigationActa Ophthalmologica Scandinavica, 2007
- Evaluation of surgical performance with intracameral mydriatics in phacoemulsification surgeryActa Ophthalmologica Scandinavica, 2004
- The Effect of Intracameral Adrenaline Infusion on Pupil Size, Pulse Rate, and Blood Pressure During PhacoemulsificationJournal of Ocular Pharmacology and Therapeutics, 1998