Pharmacologic pupillary modulation in the perioperative period

Eduardo C Alfonso, M. B. Abelson, L. M. Smith

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The perioperative management of the pupil is essential to the success of anterior segment surgery. A new dilating regimen was tested in 65 cases of cataract extraction and intraocular lens implantation. The α-adrenergic agonist, phenylephrine 2.5%, was used after pretreatment with the adrenergic β-blocker, timolol 0.5%. This treatment successfully dilated the pupil in all but three cases, was maintained by intraoperative epinephrine infusion, and was readily reversed with intraocular acetylcholine. We conclude that this pharmacologic regimen provided a successful and easily reversible mydriasis during surgery.

Original languageEnglish
Pages (from-to)78-80
Number of pages3
JournalJournal of Cataract and Refractive Surgery
Volume14
Issue number1
StatePublished - Jan 1 1988
Externally publishedYes

Fingerprint

Perioperative Period
Pupil
Mydriasis
Timolol
Adrenergic Agonists
Intraocular Lens Implantation
Adrenergic Antagonists
Cataract Extraction
Phenylephrine
Epinephrine
Acetylcholine
Therapeutics

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Pharmacologic pupillary modulation in the perioperative period. / Alfonso, Eduardo C; Abelson, M. B.; Smith, L. M.

In: Journal of Cataract and Refractive Surgery, Vol. 14, No. 1, 01.01.1988, p. 78-80.

Research output: Contribution to journalArticle

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