Glyxambi
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 1108
  • Home
  • Print this page
  • Email this page


 
   Table of Contents      
LETTER TO THE EDITOR
Year : 2013  |  Volume : 61  |  Issue : 5  |  Page : 246-247

Pre-operative use of the topical steroidal and non-steroidal anti-inflammatory agents to maintain intra-operative mydriasis during cataract surgery


Department of ophthalmology, Vasantrao Naik Government Medical College, Yavatmal, India

Date of Web Publication12-Jun-2013

Correspondence Address:
Rajesh Subhash Joshi
77, Panchatara Housing Society, Manish Nagar, Somalwada, Nagpur - 440 015
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.113322

Rights and Permissions

How to cite this article:
Joshi RS. Pre-operative use of the topical steroidal and non-steroidal anti-inflammatory agents to maintain intra-operative mydriasis during cataract surgery. Indian J Ophthalmol 2013;61:246-7

How to cite this URL:
Joshi RS. Pre-operative use of the topical steroidal and non-steroidal anti-inflammatory agents to maintain intra-operative mydriasis during cataract surgery. Indian J Ophthalmol [serial online] 2013 [cited 2019 Jun 18];61:246-7. Available from: http://www.ijo.in/text.asp?2013/61/5/246/113322

Dear Editor,

I read with interest an article by Lira et al. on pre-operative use of prednisolone and non-steroidal anti-inflammatory agents to maintain mydriasis during phacoemulsification of the cataract. [1]

I congratulate the authors for documenting the role of pre-operative use of 1% prednisolone eye drops to maintain the pupillary dilatation.

In the era of phacoemulsification, the handling of the intraocular tissue is very minimal. Mydriasis during the surgery is maintained by the continuous irrigation of the balanced salt solution and the use of viscoelastic due to closed anterior chamber. Even if the pupil becomes small we can inject intracameral 1% lignocaine, which helps in the dilatation of the pupil. The safety of the intracameral use of 1% lignocaine during phacoemulsification has been proved in various studies. [2],[3],[4] Maresova et al. has shown phacoemulsification can be done without putting pre-operative mydriatic drops or any steroidal or non-steroidal anti-inflammatory agents. [5] Do we need pre-operative use of steroidal or non-steroidal anti-inflammatory agents to maintain the mydriasis during the phacoemulsification of uncomplicated cataract? Why authors preferred to instill drops 48 h before performing phacoemulsification of the cataract?

I feel the authors should have studied the effect of prednisolone eye drops on the normal conjunctival flora.

 
  References Top

1.
Zanetti FR, Fulco EA, Chaves FR, da Costa Pinto AP, Arieta CE, Lira RP. Effect of preoperative use of topical prednisolone acetate, ketorolac tromethamine, nepafenac and placebo, on the maintenance of intraoperative mydriasis during cataract surgery: A randomized trial. Indian J Ophthalmol 2012;60:277-81.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Shah AR, Diwan RP, Vasavada AR, Keng MQ. Corneal endothelial safety of intracameral preservative-free 1% xylocaine. Indian J Ophthalmol 2004;52:133-8.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.
Gupta SK, Kumar A, Agarwal S. Cataract surgery under topical anesthesia using 2% lignocaine jelly and intracameral lignocaine: Is manual small incision cataract surgery comparable to clear corneal phacoemulsification? Indian J Ophthalmol 2010;58:537-40.  Back to cited text no. 3
[PUBMED]  Medknow Journal  
4.
Gillow T, Scotcher SM, Deutsch J, While A, Quinlan MP. Efficacy of supplementary intracameral lidocaine in routine phacoemulsification under topical anesthesia. Ophthalmology 1999;106:2173-7.  Back to cited text no. 4
[PUBMED]    
5.
Maresová K, Procházková J. Cataract surgery without preoperative mydriasis. Cesk Slov Oftalmol 2009;65:16-8.  Back to cited text no. 5
    



This article has been cited by
1 Small pupil and cataract surgery
Hassan Hashemi,Mohammad A. Seyedian,Mehrdad Mohammadpour
Current Opinion in Ophthalmology. 2015; 26(1): 3
[Pubmed] | [DOI]
2 Authorsę reply
Zanetti, F.R., Fulco, E.A.M., Chaves, F.R.P.,Arieta, C.E.L., Lira, R.P.C.
Indian Journal of Ophthalmology. 2013; 61(5): 247
[Pubmed]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
References

 Article Access Statistics
    Viewed1135    
    Printed14    
    Emailed1    
    PDF Downloaded154    
    Comments [Add]    
    Cited by others 2    

Recommend this journal