Dilation devices in cataract surgery.


Journal

Current opinion in ophthalmology
ISSN: 1531-7021
Titre abrégé: Curr Opin Ophthalmol
Pays: United States
ID NLM: 9011108

Informations de publication

Date de publication:
01 Jan 2023
Historique:
pubmed: 10 12 2022
medline: 15 12 2022
entrez: 9 12 2022
Statut: ppublish

Résumé

Cataract surgery in the setting of small pupil represent a major challenge and it is associated with a higher risk of complications. When pharmacologic pupil dilation fails, mechanical pupil expansion devices are needed to obtain and maintain sufficient intraoperative mydriasis. The purpose of this review is to assess the pupil expansion devices currently available. A variety of pupil expansion devices are offered on the market. They differ for design, material, shape, size, cost, and easiness of insertion/removal, nonetheless they all seem to be effective in improving the pupil size and easing the cataract surgery. Mechanical pupil expansion can be effectively achieved with a variety of devices, which are well tolerated and can facilitate cataract surgery in the setting of poor mydriasis.

Identifiants

pubmed: 36484211
doi: 10.1097/ICU.0000000000000922
pii: 00055735-202301000-00013
doi:

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

71-77

Informations de copyright

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

Références

Vision Loss Expert Group of the Global Burden of Disease Study. Causes of blindness and vision impairment in 2020 and trends over 30 years: evaluating the prevalence of avoidable blindness in relation to ‘VISION 2020: the Right to Sight’. Lancet Global Health 2020.
Liu YC, Wilkins M, Kim T, et al. Cataracts. Lancet 2017; 390:600–612.
Al-Hashimi S, Donaldson K, Davidson R, et al. ASCRS Refractive Cataract Surgery Subcommittee. Medical and surgical management of the small pupil during cataract surgery. J Cataract Refract Surg 2018; 44:1032–1041.
Chakrabarti A, Nazm N. Posterior capsular rent: prevention and management. Indian J Ophthalmol 2017; 65:1359–1369.
Flach AJ. The incidence, pathogenesis and treatment of cystoid macular edema following cataract surgery. Trans Am Ophthalmol Soc 1998; 96:557–634.
Chen XY, Wang YC, Zhao TY, et al. Tilt and decentration with various intraocular lenses: a narrative review. World J Clin Cases 2022; 10:3639–3646.
Alio JL, Plaza-Puche AB, Férnandez-Buenaga R, et al. Multifocal intraocular lenses: an overview. Surv Ophthalmol 2017; 62:611–634.
Braga-Mele R, Chang D, Dewey S, et al. Multifocal intraocular lenses: relative indications and contraindications for implantation. J Cataract Refract Surg 2014; 40:313–322.
Woodward MA, Randleman JB, Stulting RD. Dissatisfaction after multifocal intraocular lens implantation. J Cataract Refract Surg 2009; 35:992–997.
de Vries NE, Webers CA, Touwslager WR, et al. Dissatisfaction after implantation of multifocal intraocular lenses. J Cataract Refract Surg 2011; 37:859–865.
Balal S, Jbari AS, Nitiahpapand R, et al. Management and outcomes of the small pupil in cataract surgery: iris hooks, Malyugin ring or phenylephrine? Eye (Lond) 2021; 35:2714–2718.
Hashemi H, Mohammadpour M, Jabbarvand M, et al. Incidence of and risk factors for vitreous loss in resident-performed phacoemulsification surgery. J Cataract Refract Surg 2013; 39:1377–1382.
Donnenfeld ED, Whitaker JS, Jackson MA, Wittpenn J. Intracameral ketorolac and phenylephrine effect on intraoperative pupil diameter and postoperative pain in cataract surgery. J Cataract Refract Surg 2017; 43:597–605.
Novák J. Flexible iris hooks for phacoemulsification. J Cataract Refract Surg 1997; 23:828–831.
Santoro S, Sannace C, Cascella MC, Lavermicocca N. Subluxated lens: phacoemulsification with iris hooks. J Cataract Refract Surg 2003; 29:2269–2273.
Lee V, Bloom P. Microhook capsule stabilization for phacoemulsification in eyes with pseudoexfoliation-syndrome-induced lens instability. J Cataract Refract Surg 1999; 25:1567–1570.
Kopsachilis N, Carifi G. Phacoemulsification using 8 flexible iris hooks in a patient with a short eye, small pupil, and phacodonesis. J Cataract Refract Surg 2014; 40:1408–1411.
Smith GT, Liu CS. Flexible iris hooks for phacoemulsification in patients with iridoschisis. J Cataract Refract Surg 2000; 26:1277–1280.
Jhanji V, Sharma N, Vajpayee RB. Management of intraoperative miosis during pediatric cataract surgery using Healon 5. Middle East Afr J Ophthalmol 2011; 18:55–57.
Ratra V, Lam DS. Small pupil--big problem: a management algorithm. Asia Pac J Ophthalmol (Phila) 2015; 4:131–133.
Arshinoff SA. Modified SST-USST for tamsulosin-associated intraoperative [corrected] floppy-iris syndrome. J Cataract Refract Surg 2006; 32:559–561.
Arshinoff SA, Norman R. Tri-soft shell technique. J Cataract Refract Surg 2013; 39:1196–1203.
de Juan E, Hickingbotham D. Flexible iris retractor. Am J Ophthalmol 1991; 111:776–777.
Grzybowski A, Kanclerz P. Methods for achieving adequate pupil size in cataract surgery. Curr Opin Ophthalmol 2020; 31:33–42.
Nichamin LD. Enlarging the pupil for cataract extraction using flexible nylon iris retractors. J Cataract Refract Surg 1993; 19:793–796.
Yuguchi T, Oshika T, Sawaguchi S, Kaiya T. Pupillary functions after cataract surgery using flexible iris retractor in patients with small pupil. Jpn J Ophthalmol 1999; 43:20–24.
Birchall W, Spencer AF. Misalignment of flexible iris hook retractors for small pupil cataract surgery: effects on pupil circumference. J Cataract Refract Surg 2001; 27:20–24.
Oetting TA, Omphroy LC. Modified technique using flexible iris retractors in clear corneal cataract surgery. J Cataract Refract Surg 2002; 28:596–598.
Malyugin B. Cataract surgery in small pupils. Indian J Ophthalmol 2017; 65:1323–1328.
Chan DG, Francis IC. Intraoperative management of iris prolapse using iris hooks. J Cataract Refract Surg 2005; 31:1694–1696.
Masket S. Avoiding complications associated with iris retractor use in small pupil cataract extraction. J Cataract Refract Surg 1996; 22:168–171.
Goldman JM, Karp CL. Adjunct devices for managing challenging cases in cataract surgery: pupil expansion and stabilization of the capsular bag. Curr Opin Ophthalmol 2007; 18:44–51.
Kershner RM. Management of the small pupil for clear corneal cataract surgery. J Cataract Refract Surg 2002; 28:1826–1831.
Akman A, Yilmaz G, Oto S, Akova YA. Comparison of various pupil dilatation methods for phacoemulsification in eyes with a small pupil secondary to pseudoexfoliation. Ophthalmology 2004; 111:1693–1698.
Graether JM. Graether pupil expander for managing the small pupil during surgery. J Cataract Refract Surg 1996; 22:530–535.
Malyugin B. Small pupil phaco surgery: a new technique. Ann Ophthalmol (Skokie) 2007; 39:185–193.
Chang DF. Use of Malyugin pupil expansion device for intraoperative floppy-iris syndrome: results in 30 consecutive cases. J Cataract Refract Surg 2008; 34:835–841.
Lockington D, Wang Z, Qi N, et al. Modelling floppy iris syndrome and the impact of pupil size and ring devices on iris displacement. Eye (Lond) 2020; 34:2227–2234.
Tian JJ, Garcia GA, Karanjia R, Lu KL. Comparison of 2 pupil expansion devices for small-pupil cataract surgery. J Cataract Refract Surg 2016; 42:1235–1237.
Zarei-Ghanavati S, Bagherian H. Stabilizing the capsular bag and expanding the pupil with a pupil expansion device. J Cataract Refract Surg 2015; 41:1801–1803.
Wilczynski M, Kucharczyk M. Phacoemulsification with Malyugin ring in an eye with iridoschisis, narrow pupil, anterior and posterior synechiae: case report. Eur J Ophthalmol 2013; 23:909–912.
Sharma VK, Trehan HS, Raji K, Dhar SK. New use of a pupillary expansion ring to avoid intraoperative positive vitreous pressure during triple procedures. J Cataract Refract Surg 2019; 45:544–546.
Malyugin B, Sobolev N, Arbisser LB, Anisimova N. Combined use of an iris hook and pupil expansion ring for femtosecond laser-assisted cataract surgery in patients with cataracts complicated by insufficient mydriasis and an ectopic pupil. J Cataract Refract Surg 2016; 42:1112–1118.
Conrad-Hengerer I, Hengerer FH, Schultz T, Dick HB. Femtosecond laser-assisted cataract surgery in eyes with a small pupil. J Cataract Refract Surg 2013; 39:1314–1320.
Roberts TV, Lawless M, Hodge C. Laser-assisted cataract surgery following insertion of a pupil expander for management of complex cataract and small irregular pupil. J Cataract Refract Surg 2013; 39:1921–1924.
Malyugin B, Anisimova N, Antonova O, Arbisser LB. Simultaneous pupil expansion and displacement for femtosecond laser-assisted cataract surgery in patients with lens ectopia. J Cataract Refract Surg 2018; 44:262–265.
Malyugin BE, Anisimova NS. Mechanical dilation of the pupil and its possible applications in femtosecond laser-assisted cataract surgery. Vestn Oftalmol 2018; 134:97–103.
Lin HY, Lin TY, Chuang YJ, et al. A novel sequential docking technique: use of femtosecond arcuate keratotomy and femtosecond assisted cataract surgery using a pupil expansion ring on a patient with intraoperative floppy iris syndrome. Int Med Case Rep J 2020; 13:139–144.
Clifford L, Hodgkins PR. Malyugin ring for pediatric cataract surgery. J AAPOS 2012; 16:167.
Uy HS, Cruz FM, Kenyon KR. Efficacy of a hinged pupil expansion device in small pupil cataract surgery. Indian J Ophthalmol 2021; 69:2688–2693.
Bhattacharjee S. Pupil-expansion ring implantation through a 0.9 mm incision. J Cataract Refract Surg 2014; 40:1061–1067.
Bhattacharjee S. B-HEX pupil expander: pupil expansion redefined. Indian J Ophthalmol 2017; 65:1407–1410.
Chakraborty D, Mohanta A, Bhaumik A. B-HEX pupil expander in vitreoretinal surgery - a case series. Indian J Ophthalmol 2020; 68:1188–1191.
Salviat F, Febbraro JL, Zuber K, et al. Evaluation of a uniplanar pupil expansion ring in small-pupil cataract surgery: a feasibility study. Int Ophthalmol 2022; 42:489–496.
Tan RKY, Perera SA, Tun TA, et al. Performance of a temperature-controlled shape-memory pupil expander for cataract surgery. J Cataract Refract Surg 2020; 46:116–124.
Canabrava S, Lima ACCD, Loyola AE. The Canabrava Ring, an open ring-shaped pupil expander for cataract surgery associated with iris colobomata: a case report. Arq Bras Oftalmol 2020; 83:434–436.
Sheen-Ophir S, Wong J, Assia EI. Outcomes of first 50 cases using a new pupil expander. J Cataract Refract Surg 2021; 47:1122–1126.
Malyugin BE. Recent advances in small pupil cataract surgery. Curr Opin Ophthalmol 2018; 29:40–47.
Nderitu P, Ursell P. Iris hooks versus a pupil expansion ring: operating times, complications, and visual acuity outcomes in small pupil cases. J Cataract Refract Surg 2019; 45:167–173.
Wang JD, Zhang JS, Li M, et al. Comparison of different pupil dilatation methods for phacoemulsification in eyes with a small pupil. BMC Ophthalmol 2022; 22:173.
Tan RKY, Wang X, Perera SA, Girard MJA. Numerical stress analysis of the iris tissue induced by pupil expansion: Comparison of commercial devices. PLoS One 2018; 13:e0194141.

Auteurs

Enrica Sarnicola (E)

Ambulatorio di Chirurgia Oculare Santa Lucia.
Clinica degli Occhi Sarnicola, Grosseto.

Caterina Sarnicola (C)

Clinica degli Occhi Sarnicola, Grosseto.
Ophthalmology department, Ospedale San Donato AUSL Toscana Sud-Est, Arezzo, Italy.

Vincenzo Sarnicola (V)

Ambulatorio di Chirurgia Oculare Santa Lucia.
Clinica degli Occhi Sarnicola, Grosseto.

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