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Updated: Jul 5, 2026

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Bilateral atonic pupils after cataract surgery.

Shivan Tekwani1, Roya Ghafouri, Michelle Andreoli

  • 1Department of Ophthalmology, Loyola University Stritch School of Medicine, 2160 South First Avenue, Maywood, IL 60153, USA.

Ophthalmic Surgery, Lasers & Imaging : the Official Journal of the International Society for Imaging in the Eye
|April 26, 2008
PubMed
Summary

This case report details bilateral atonic pupils following phacoemulsification cataract surgery in an elderly patient. This unusual finding occurred in an 84-year-old woman with significant cardiopulmonary risks.

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Area of Science:

  • Ophthalmology
  • Surgical Complications

Background:

  • Cataract extraction via phacoemulsification is a common procedure.
  • Patient presented with multiple cardiopulmonary risk factors, potentially influencing surgical outcomes.

Observation:

  • The case report focuses on an 84-year-old female patient.
  • The patient underwent phacoemulsification for cataract removal.

Findings:

  • An unusual complication of bilateral atonic pupils was observed post-surgery.
  • Atonic pupils indicate a lack of pupillary response to light.

Implications:

  • This finding highlights a rare, potentially serious, ocular complication after cataract surgery.
  • Further investigation may be warranted to understand the underlying mechanisms and predisposing factors for atonic pupils in at-risk patients.