Ovoid Pupils in Cataract Surgery – What Happened?

Uday Devgan MD, ,

What is happening in these cataract surgery patients with prior Flomax (tamsulosin) use? Why are the pupils ovoid in shape?

These patients have poorly dilating pupils, so the surgical technique employed here was performing the capsulorhexis under the iris so that it is a larger diameter than the pupil, then prolapsing the nucleus out of the capsular bag. The nucleus is being held by the iris in the pupil plane so it creates this ovoid shape.

Dr. Gomez has some very valuable advice for creating the capsulorhexis under the iris.

You can certainly learn this important technique. Click below for the video:

Published by Uday Devgan MD

Professor Uday Devgan MD is a Los Angeles Cataract Surgeon who authors CataractCoach.com to teach the best techniques of Cataract Surgery to Eye Surgeons from around the world.