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Call in the Big Guns to Deal With Small Pupils
These drugs and devices promise to take the challenge out of the challenging cataract cases.
Daniel Cook
Publish Date: January 14, 2019   |  Tags:   Ophthalmology
OPENING UP Most surgeons routinely use a topical or intracameral medication to keep pupils dilated throughout surgery.   |   Jeffrey Whitman, MD

Small pupils are a sizable concern for your cataract surgeons. They increase the risk of serious complications, including damage to the iris, capsular tears, vitreous loss, and retained lens fragments and cortical material. It’s estimated that about 10% of cataract patients are at risk of intraoperative miosis, so chances are your surgeons will have to deal with the issue at least once during a busy day of surgery. Thankfully, there are several drugs and devices that will dilate pupils wide enough to give physicians the views they need to perform safe and effective surgery. Here’s a rundown.

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