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Managing small pupils during phaco cataract surgery, part 2
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In this series of videos, Alessandro Galan, MD, shows different ways to deal with small pupils during cataract surgery.
Part 2: Small pupil — stretching
When pupils are small due to fibrosis of the pupil edge, mechanical stretching is the best way of expanding them to a sufficient aperture for MICS. The easier and most effective way of stretching the pupil is by using two hooks: one Osher hook and one “push and pull” hook.
The following maneuvers are as in the previous video: creation of a long corneal tunnel and use of an adhesive OVD, central “phaco chop” to avoid contact with the iris, the use of a “push and pull” hook during aspiration of the cortex, IOL implantation and viscoelastic removal.
To see the other parts of this series click here: Part 1, Part 3, Part 4.
Alessandro Galan, MD, OSN Europe Edition Board Member, is head of ophthalmology at Sant’Antonio Hospital, Padua, Italy. He can be reached at can be reached at Ospedale Civile Sant’Antonio, Via Facciolati 121, Padova, Italy; email: alessandro.galan@gmail.com.
Disclosure: Galan reports no relevant financial disclosures.