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Intracameral mydriatics as effective as topical in phaco

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Intracameral mydriatics are a rapid, effective and safe alternative to topical mydriatics in phaco, according to a study. Additionally, in certain high-risk groups, their use may reduce the risk of cardiovascular side effects, the study authors note.

Bjorn Lundberg, MD, and Anders Behndig, MD, PhD, at the Umeå University Hospital in Sweden randomized 60 patients who were given topical or intracameral mydriatics. Pupil size was recorded preoperatively, throughout surgery and 1 day and 1 month postoperatively.

Pupils in the topical group tended to contract, and the difference was significant. The intracameral group reported less glare during the procedure.

The study is published in the Journal of Cataract & Refractive Surgery.