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Outcomes of sphincterotomy for small pupil phacoemulsification
Joanne W Y Goh1, Rhys Harrison2, Shokufeh Tavassoli2
1Bristol Eye Hospital, Bristol, UK. joanneyau.goh@gmail.com.
Eye (London, England)
|April 6, 2018
Summary
Pupillary sphincterotomy combined with phacoemulsification surgery for small pupils has a low incidence of post-operative complications. Ocular comorbidities like glaucoma and uveitis are key risk factors for developing complications.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Patient Outcomes
Background:
- Pupillary sphincterotomy is an alternative surgical technique for managing small pupils during phacoemulsification.
- The incidence of post-operative complications following pupillary sphincterotomy has not been extensively studied.
Purpose of the Study:
- To evaluate the post-operative outcomes of phacoemulsification surgery when combined with pupillary sphincterotomy.
- To determine the incidence of complications in patients undergoing this combined procedure.
Main Methods:
- A retrospective review of 114 eyes undergoing simultaneous sphincterotomy, phacoemulsification, and intraocular lens (IOL) implantation.
- Data collected included post-operative ocular hypertension (IOP > 21 mmHg), uveitis, and cystoid macular edema (CMO).
Main Results:
- The overall incidence of post-operative complications was low in uncomplicated cases.
- Transient ocular hypertension occurred in 4% of eyes, sustained hypertension in 1%.
- Persistent uveitis (4%) and cystoid macular edema (5%) were observed, often associated with pre-existing ocular conditions.
Conclusions:
- Phacoemulsification with pupillary sphincterotomy is associated with a low rate of post-operative complications.
- Pre-existing ocular comorbidities such as glaucoma, uveitis, and macular pathology are significant risk factors for complications.
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