Cataract surgery small pupils safe eye surgery management by undergoing phacoemulsification cataract surgery as the basis for writing his article.
Cataract Surgery Small Pupils
Before discussing this topic more deeply, we need to know that cataracts are a major cause of blindness in the world. Cataract is an aging-related vision disorder that causes vision to become cloudy and cloudy cloudy. Cataracts make you look like behind a thick dusty window. However, many people are reluctant to undergo surgery because they fear the risk of complications. Cataracts appear in the lens of the eye, a transparent colored crystal structure that is just behind the pupil. This one eye structure works like a camera lens by focusing light on the retina of the eye. The lens also adjusts the focus of the eye, which makes it possible to see things clearly both near and far. The lens is made of water and protein, which makes the lens of the eye light so that light can enter through it. However, as we get older, some of these proteins can clot and begin to form cloudy clouds that cover the lens. Over time, protein fog can expand to cover most of the lens, causing foggy or blurred vision.
Misty eyes that occur due to cataracts cannot be reduced by drugs. That’s why doctors often recommend the solution to restore vision with cataract surgery. However, not everyone needs cataract surgery and is offered depending on the severity of the cataract level. There are three reasons why someone is advised to undergo cataract surgery: (1) To improve visual acuity. This is especially true if the lens opacities or opacity of the eye has disturbed you in your daily activities. (2) If there are other medical conditions that are dangerous due to cataracts, such as lens-induced glaucoma. (3) For cosmetic reasons. The cataract patient will have a pupil (the middle part of the eye that is usually black) which is grayish in color. They can undergo cataract surgery even though the improvement in visual acuity is not very significant.
Small pupils are a well-known risk factor associated with many complications during and after cataract surgery. Small pupils that do not widen or do not narrow can be a challenge for cataract surgeons. Iris sphincter sclerosis can be present in patients undergoing cataract surgery. This condition can be caused by aging, synechiae, trauma or previous surgery, diabetes, chronic syphilis, iridoschisis, uveitis, chronic myotic therapy, or pseudoexfoliation. Intraoperative floppy iritis syndrome (IFIS) is another cause of miosis. IFIS is characterized by flaccid iris, which is undulating in response to the normal flow of intraocular fluid and can cause iris damage by intraocular instruments. In each of these cases, special measures must be considered a surgical procedure to avoid complicated operations that can cause subsequent side-effects.
In 2008, femtosecond-assisted cataract surgery (FLACS) was introduced into clinical practice. This has the main potential for clinical research and further improvement in the coming years which results in better clinical outcomes. However, this technology is not immune to complications, with intraoperative pupillary constriction being one of them. Some intraoperative pupil expansion strategies developed for use in FLACS with Malyugin Ring are among the most successful. Malyugin Ring is a square folded device made of polypropylene. If the pupillary expansion ring is used before FLACS, the surgeon must pay special attention to filling the anterior chamber with OVD (ophthalmic viscosurgical device). This is done to maintain the homogeneity of the optical path and to prevent air bubbles trapped in OVD. In addition, the last OVD can cause laser beam irregularities and incomplete anterior capsulotomy. OVD is injected into the anterior chamber. With an OVD injection, the anterior chamber becomes deeper, and the pupil becomes wider.
Based on the discussion it can be concluded that an adequate tool is available for safe eye surgery management with small pupils undergoing phacoemulsification cataract surgery. The surgeon can manage phacoemulsification in the eye with a small pupil not only by using a mechanical device to enlarge the pupil. However, surgeons also with the help of OVD and appropriate phaco settings.
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