A Safe Technique for In-The-Bag Intraocular Lens Implantation in Pediatric Cataract Surgery

2014 ◽  
Vol 25 (1) ◽  
pp. 57-59 ◽  
Author(s):  
Sudarshan Khokhar ◽  
Reetika Sharma ◽  
Bharat Patil ◽  
Gautam Sinha ◽  
Bhagabat Nayak ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Intraocular Lens Implantation ◽  
Pediatric Cataract ◽  
Lens Implantation ◽  
Safe Technique ◽  
Pediatric Cataract Surgery

Pediatric Cataract Surgery and Intraocular Lens Implantation: Current Techniques, Complications, and Management

2001 ◽  
Vol 41 (3) ◽  
pp. 175-196 ◽  
Author(s):  
Suresh K. Pandey ◽  
M. Edward Wilson ◽  
Rupal H. Trivedi ◽  
Andrea M. Izak ◽  
Tamer A. Macky ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Intraocular Lens Implantation ◽  
Pediatric Cataract ◽  
Lens Implantation ◽  
Pediatric Cataract Surgery

scholarly journals Intracameral anesthetic mydriatic (ICAM) assisted pediatric cataract surgery

2021 ◽  
pp. 112067212110065
Author(s):  
Savleen Kaur ◽  
Shagun Korla ◽  
Jagat Ram ◽  
Parul Chawla Gupta ◽  
Jaspreet Sukhija
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Strong Positive Correlation ◽  
Pupillary Dilation ◽  
Intraocular Lens Implantation ◽  
Pupillary Diameter ◽  
Pediatric Cataract ◽  
Phenylephrine Hydrochloride ◽  
Lens Implantation ◽  
Pediatric Cataract Surgery

Purpose: To assess the efficacy and safety of intracameral mydriatic and anesthetic combination for pupillary dilation in pediatric cataract surgery Methods: This prospective series included children <12 years, with visually significant unilateral or bilateral cataracts planned for cataract surgery with/without intraocular lens implantation. At the beginning of surgery, 0.025 ml of a combination of phenylephrine hydrochloride (0.31%), tropicamide (0.02%), and lidocaine hydrochloride (1%) was injected intracamerally. The efficacy of the combination was tested by achieving capsulorhexis and intraocular lens implantation without additional mydriatics. Results: We recruited 13 patients (16 eyes) with a mean age of 4.1 ± 3.9 years. The mean pupillary diameter changed increased from 1.92 to 5.68 mm after injection of one unit (0.025 ml) of drug ( p < 0.0001). There was a strong positive correlation of the pupillary dilation with axial length ( R = 0.86) and horizontal corneal diameter ( R = 0.81). Seventy-five percent patients had a pupillary diameter >6 mm and surgery could be completed successfully in all cases without additional mydriatics. In all cases, pupil dilated as the surgery progressed. No adverse event to the drug was noted. Conclusions: Intracameral mydriatic-anesthetic combination is an effective and safe way to obtain stable mydriasis in pediatric cataract surgery.

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