دورية أكاديمية
Cataract surgery in children using intracameral mydriatic.
| العنوان: | Cataract surgery in children using intracameral mydriatic. |
|---|---|
| المؤلفون: | Sukhija J; Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India., Kaur S, Kumari K, Gupta K, Gupta PC |
| المصدر: | Indian journal of ophthalmology [Indian J Ophthalmol] 2024 Jul 01; Vol. 72 (7), pp. 1017-1020. Date of Electronic Publication: 2024 Mar 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Medknow Publications Country of Publication: India NLM ID: 0405376 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1998-3689 (Electronic) Linking ISSN: 03014738 NLM ISO Abbreviation: Indian J Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Mumbai : Medknow Publications Original Publication: Bombay : All-India Ophthalmological Society |
| مواضيع طبية MeSH: | Mydriatics*/administration & dosage , Cataract Extraction*/methods , Pupil*/drug effects , Tropicamide*/administration & dosage , Phenylephrine*/administration & dosage, Humans ; Child, Preschool ; Male ; Infant ; Female ; Child ; Lidocaine/administration & dosage ; Anterior Chamber/drug effects ; Cataract ; Prospective Studies ; Follow-Up Studies ; Ophthalmic Solutions/administration & dosage ; Dose-Response Relationship, Drug |
| مستخلص: | Purpose: To study the pupil dynamics with premixed intracameral anesthetic mydriatic combination of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) in pediatric cataract surgery. Methods: Consecutive children aged ≤12 years planned for cataract surgery were recruited. A commercially available premixed combination of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) was injected at the beginning of surgery without any topical/infusion drugs for mydriasis. Pupil sizes at various points of surgery were studied. Results: We recruited 75 patients with a mean age of 24.3 ± 33.4 months (range: 1 month-11 years). Adequate mydriasis with a single injection was achieved in 93.5% (n = 73 eyes of 70 patients) without additional pharmacotherapy or intervention. The mean pupillary diameter increased from 1.8 ± 0.79 to 6.1 ± 1.4 mm after injection (mean change of 4.2 ± 1.25 mm from baseline). The mean variability in pupillary diameter was 0.73 ± 1.3 mm. In five eyes, good dilatation was not possible even after repeat injection. Conclusion: Fixed-dose premixed intracameral injection is effective in pupil dilatation. It alleviates the need for any topical dilators or additional intraoperative supplementation for pediatric cataract surgery. (Copyright © 2024 Copyright: © 2024 Indian Journal of Ophthalmology.) |
| References: | Acta Ophthalmol Scand. 2006 Feb;84(1):100-4. (PMID: 16445447) BMC Ophthalmol. 2020 Mar 3;20(1):81. (PMID: 32126990) J Cataract Refract Surg. 2003 Dec;29(12):2366-71. (PMID: 14709298) J Cataract Refract Surg. 2017 Aug;43(8):1031-1035. (PMID: 28917402) J Cataract Refract Surg. 2007 Jul;33(7):1325-7. (PMID: 17586395) Acta Ophthalmol. 2013 May;91(3):243-6. (PMID: 22405257) Br J Anaesth. 2002 Mar;88(3):440-2. (PMID: 11990281) Cutan Ocul Toxicol. 2014 Jun;33(2):103-8. (PMID: 23815170) J Ocul Pharmacol Ther. 2001 Jun;17(3):249-53. (PMID: 11436945) Arch Ophthalmol. 2010 Jan;128(1):21-7. (PMID: 20065212) Middle East Afr J Ophthalmol. 2011 Jan;18(1):55-7. (PMID: 21572735) Clin Exp Ophthalmol. 2011 Jul;39(5):456-61. (PMID: 21070540) Acta Ophthalmol Scand. 1997 Apr;75(2):178-80. (PMID: 9197568) Am J Ophthalmol. 2002 Oct;134(4):624-5. (PMID: 12383833) J Cataract Refract Surg. 1996;22 Suppl 1:780-7. (PMID: 9279672) Eye (Lond). 2012 Oct;26(10):1391-2. (PMID: 22814809) Br J Ophthalmol. 2016 May;100(5):611-5. (PMID: 26420824) Eye (Lond). 2020 Dec;34(12):2197-2218. (PMID: 32778738) JAMA Ophthalmol. 2019 Oct 01;137(10):1156-1163. (PMID: 31369052) J Ocul Pharmacol Ther. 1998 Aug;14(4):357-61. (PMID: 9715439) Eur J Ophthalmol. 2021 Mar 29;:11206721211006575. (PMID: 33781116) J Cataract Refract Surg. 2020 Jun;46(6):873-878. (PMID: 32221151) J Cataract Refract Surg. 2018 Mar;44(3):341-347. (PMID: 29703287) Am J Ophthalmol. 1978 Apr;85(4):447-53. (PMID: 655224) J Cataract Refract Surg. 2016 Jul;42(7):1060-5. (PMID: 27492106) |
| المشرفين على المادة: | 0 (Mydriatics) N0A3Z5XTC6 (Tropicamide) 1WS297W6MV (Phenylephrine) 98PI200987 (Lidocaine) 0 (Ophthalmic Solutions) |
| تواريخ الأحداث: | Date Created: 20240308 Date Completed: 20240621 Latest Revision: 20240819 |
| رمز التحديث: | 20240819 |
| مُعرف محوري في PubMed: | PMC11329812 |
| DOI: | 10.4103/IJO.IJO_2628_23 |
| PMID: | 38454863 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder كن أول من يترك تعليقا!