Pupil Dilation with Intracameral Epinephrine Hydrochloride during Phacoemulsification and Intraocular Lens Implantation
Joint Authors
Huang, Jinhai
Wang, Qinmei
Yu, Ayong
Guo, Hua
Bao, Fang-Jun
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-20
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objective.
To investigate mydriatic effect of intracamerally injected epinephrine hydrochloride during phacoemulsification and intraocular lens (IOL) implantation.
Methods.
Eighteen cataract patients for bilateral phacoemulsification were enrolled.
To dilate pupil, one eye was randomly selected to receive intracamerally 1 mL epinephrine hydrochloride 0.001% for 1 minute after corneal incision (intracameral group), and the contralateral eye received 3 drops of compound tropicamide 0.5% and phenylephrine 0.5% at 5-minute intervals 30 minutes before surgery (topical group).
Pupil diameters were measured before corneal incision, before ophthalmic viscoelastic device (OVD) injection, after OVD injection, before IOL implantation, and at the end of surgery.
Results.
At each time point, the mean pupil diameter in the intracameral group was 2.20 ± 0.08 , 5.09 ± 0.20 , 6.76 ± 0.19 , 6.48 ± 0.18 , and 5.97 ± 0.24 mm, respectively, and in the topical group it was 7.98 ± 0.15 , 7.98 ± 0.15 , 8.53 ± 0.14 , 8.27 ± 0.16 , and 7.93 ± 0.20 mm, respectively.
The topical group consistently had larger mydriatic effects than the intracameral group ( P < 0.05 ).
The onset of mydriatic effect was rapid in the intracameral group.
There was no difference in surgical performance or other parameters between groups.
Conclusions.
Intracameral epinephrine hydrochloride appears to be an alternative to the mydriatic modalities for phacoemulsification and IOL implantation.
In comparison with topical mydriatics, intracameral epinephrine hydrochloride offers easier preoperative preparation, more rapid pupil dilation, and comparable surgical performance.
American Psychological Association (APA)
Yu, Ayong& Guo, Hua& Wang, Qinmei& Bao, Fang-Jun& Huang, Jinhai. 2016. Pupil Dilation with Intracameral Epinephrine Hydrochloride during Phacoemulsification and Intraocular Lens Implantation. Journal of Ophthalmology،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1109975
Modern Language Association (MLA)
Yu, Ayong…[et al.]. Pupil Dilation with Intracameral Epinephrine Hydrochloride during Phacoemulsification and Intraocular Lens Implantation. Journal of Ophthalmology No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1109975
American Medical Association (AMA)
Yu, Ayong& Guo, Hua& Wang, Qinmei& Bao, Fang-Jun& Huang, Jinhai. Pupil Dilation with Intracameral Epinephrine Hydrochloride during Phacoemulsification and Intraocular Lens Implantation. Journal of Ophthalmology. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1109975
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1109975