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Published on: July 7, 2023
Management of Intraoperative Miosis during Pediatric Cataract Surgery using Healon 5
Vishal Jhanji1, Namrata Sharma, Rasik B Vajpayee
1Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
Purpose:
We describe a technique for achieving pupillary dilatation in order to manage and counteract intraoperative miosis during pediatric cataract surgery using viscoadaptive viscoelastic (sodium hyaluronate 2.3%).
Materials And Methods:
The technique of viscomydriasis was used in six eyes with pediatric cataracts with intraoperative pupillary miosis.
Results:
Pupillary dilatation was achieved and maintained in all eyes throughout cataract surgery. All the surgical steps including anterior and posterior capsulorrhexis and aspiration were performed successfully.
Conclusions:
Viscomydriasis is a simple and effective technique for the management of intraoperative pupillary miosis during cataract surgery in pediatric eyes.

