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How to Manage the Narrow Pupil?


Authors: P. Böhm
Authors‘ workplace: Privátne Očné centrum, Bratislava
Published in: Čes. a slov. Oftal., 66, 2010, No. 5, p. 220-222
Category: Original Article

Overview

I describe a new irrigating iris retractor for cataract surgery in small pupils. The retractor, a modified irrigating handpiece has a smooth button-like iris hook in the front. The hook is inserted into the margin of a small pupil and retract the pupil peripherally to allow visualisation of cortical remnant in the equatorial area of the lens capsule. The capsule can then be safely cleaned using the aspirating handpiece in the surgeon’s other hand.

Key words:
retractor, cataract surgery, small pupils


Sources

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3. Masked, S., Shaleen, B.: Combined preoperative topical atropine sulfate 1% and. intracameral nonpreserved epinephrine hydrochloride 1:2500 for management of intraoperative floppy – iris syndrome. J Cataract Refract Surg., 2007; 33; 4: 580–582.

4. Graether, J.M.: Graether pupil expander for managing the small pupil during surgery. J Cataract Refract Surg., 1996; 22; 3: 530–535.

5. Oettting, T.A., Omphroy L.C.: Modified technique using flexible iris retractors in clear corneal cataract surgery. J Cataract Refract Surg., 2002; 28; 4: 596–598.

6. Malyugin, B.: New Iris Ring Useful for Cataract Cases with Small Pupils and Weak Zonules, Eurotimes, February 2008, p. 14.

7. Böhm, P., Horvath, J., Záhorcová, M.: Irrigating iris retractor for complicated cataract surgery. J Cataract Rafract Surg., 2009; 35; 3: 419–421.

8. Böhm, P.: Usefulness of hydroimplantation technique for foldable IOL implantation. J Cataract Refract Surg., 2010; 36; 9: 1623–1624.

Labels
Ophthalmology
Topics Journals
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