ArticleInternational journal of surgery case reports2026
Impact of lidocaine-induced mydriasis on postoperative outcomes in deep sclerectomy: a case report.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Non-penetrating deep sclerectomy (NPDS), introduced in 1989, is a glaucoma surgery technique that reduces intraocular pressure (IOP) by removing a deep scleral flap to facilitate aqueous humor drainage. Lidocaine, a local anesthetic, blocks sodium channels to reduce pain. It also affects pupil size and accommodation, particularly in light-colored irises, though the exact mechanisms are not well understood. Importance: This report highlights the potential impact of lidocaine on pupil dynamics and its role in altering the functionality of surgically created outflow pathways. Case presentation: A 60-year-old woman with advanced normal tension glaucoma underwent bilateral deep sclerectomy. The right eye surgery was successful, but the left eye developed an acute rise in IOP following the use of topical lidocaine. The mydriatic effect led to bleb dysfunction and eventual surgical failure, necessitating conversion to trabeculectomy. Clinical discussion: The transient mydriatic effect of lidocaine can compromise aqueous humor dynamics during the early postoperative period of deep sclerectomy. In eyes with light-colored irises, this effect may be more pronounced, increasing the risk of failure and IOP spikes. This case highlights the need for ophthalmologists to consider alternative anesthetics and to closely monitor postoperative pupil dynamics to avoid compromising surgical outcomes. Conclusion: Lidocaine-induced mydriasis can adversely affect the results of a deep sclerectomy. Awareness of this potential complication and careful selection of anesthetic agents are crucial to optimize outcomes in glaucoma surgery.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.