Adjunct devices for managing challenging cases in cataract surgery

Pupil expansion and stabilization of the capsular bag

James M. Goldman, Carol Karp

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: Patients anticipate favorable surgical outcomes when having cataract surgery. The modern-day cataract surgeon should employ all necessary means to achieve this result. A working knowledge of adjunct devices for pupil expansion and capsular-bag stabilization can significantly improve surgical outcomes. RECENT FINDINGS: Adjunct devices for pupil expansion include the Beehler pupil dilator, nylon iris hooks, and pupillary rings, including the Perfect Pupil, the Graether 2000, and the Morcher pupil dilator. Capsular-bag stabilization can be accomplished with capsular tension rings, capsular tension segments or iris hooks. The recent literature on these devices is reviewed. SUMMARY: Impaired visualization through a small pupil and poor tissue stabilization increases the chance of tissue damage, retained nuclear material, and vitreous loss. Fortunately, inadequate mydriasis and instability of the capsular bag can be managed safely with the use of adjunct tools. Preoperative planning, familiarity with available tools, and accessibility of these devices in the operative setting is necessary.

Original languageEnglish
Pages (from-to)44-51
Number of pages8
JournalCurrent Opinion in Ophthalmology
Volume18
Issue number1
DOIs
StatePublished - Feb 1 2007

Fingerprint

Pupil
Cataract
Equipment and Supplies
Iris
Miosis
Mydriasis
Nylons

Keywords

  • Capsular tension rings
  • Capsular tension segments
  • Capsular-bag stabilization
  • Cataract devices
  • Iris hooks
  • Small pupil

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Adjunct devices for managing challenging cases in cataract surgery : Pupil expansion and stabilization of the capsular bag. / Goldman, James M.; Karp, Carol.

In: Current Opinion in Ophthalmology, Vol. 18, No. 1, 01.02.2007, p. 44-51.

Research output: Contribution to journalArticle

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