ArticleOman journal of ophthalmology
Causes and management of small pupil in patients with cataract.
Article in Oman journal of ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 27 citations in OpenAlex.
- Impact of intraoperative 3 mg triamcinolone acetonide injection on visual rehabilitation and inflammation control in uveitic cataract patients undergoing small-incision cataract surgery.Indian journal of ophthalmology · 2026Article
- Eight-Chop Technique in Phacoemulsification Using Iris Hooks for Patients with Cataracts and Small Pupils.Journal of clinical medicine · 2024Article
- A new intraocular lens marker to guide the implantation of toric intraocular lenses in small and mid-dilating pupils.Indian journal of ophthalmology · 2023Article
- Pupil diameter during cataract surgery after intracameral injection of the first ready-to-use combination of mydriatics and anaesthetic at the beginning of surgery in patients with a preoperative pupil diameter <6 mm.Acta ophthalmologica · 2023Article
- Comparison of different pupil dilatation methods for phacoemulsification in eyes with a small pupil.BMC ophthalmology · 2022Article
- Intraoperative floppy iris syndrome: an updated review of literature.International ophthalmology · 2021Review
- Efficacy of a hinged pupil expansion device in small pupil cataract surgery.Indian journal of ophthalmology · 2021Article
- Iris manipulation during phacoemulsification: intraoperative and postoperative complications.International journal of ophthalmology · 2021Article
- Application of a prechop technique using a reverse chopper in small pupil cataract surgery.Annals of translational medicine · 2020Article
- Surgical experience with a redesigned, fully preloaded, hydrophobic acrylic intraocular lens in challenging cases of pseudoexfoliation syndrome, phacodonesis, and small pupils.Clinical ophthalmology (Auckland, N.Z.) · 2019Article
- A randomized control study on post-operative iris distortion following small-pupil cataract surgery using B-HEX pupil expander versus Malyugin ring.Medical journal, Armed Forces IndiaArticle
- B-Hex, an ace up the sleeve for small pupil phacoemulsification.Romanian journal of ophthalmologyArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of the study was to present the causes and management of small pupil (<6 mm) in Greek patients with cataract.
methodsAbout 1144 consecutive patients with cataract comprised the study group. The pupil size was measured after maximal dilation by means of Rosenbaum cards and Colvard pupillometer. Dilation regimen included phenylephrine 10%, tropicamide 1%, cyclopentolate 1%, and ketorolac trometamol 0.5% administered 3 times at 5 min intervals starting 1 h before surgery. The presence of possible risk factors for small pupil was recorded. The need of additional maneuvers and devices to dilate the pupil during cataract surgery was examined, and the complication rate in cases with small pupils was recorded.
resultsSmall pupil was observed in 78 out of 1144 eyes (6.8%, 95% confidence interval = 5.2%-8.8%). Nine eyes had pupil size <4 mm (0.78%) preoperatively. Six cases (0.52%) developed intraoperative pupillary miosis. The major cause of small pupil was pseudoexfoliation (PEX) in 47.4% (37/78) of patients. No significant associations were observed regarding age, gender, history of diabetes mellitus, the maturity of cataract, and phacodonesis. Techniques for small pupil management included pupil stretching in 14 cases (17.9%), use of iris hooks in 6 cases (7.7%), iris sphincter cuts in 2 cases (2.6%), and placement of a Malyugin Ring in 4 cases (5.1%). Seven eyes (9%) with small pupil had capsular rupture versus 16 eyes (1.5%) with normal dilation (
conclusionsSmall pupil is not very common in Greek population, is mostly caused by PEX, and it is associated with increased complication rate.
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