1093: Audience Poll: Pupil Ring or Not?

Uday Devgan MD, ,

This is the maximum pharmacologic dilation of about 4mm and the patient is noted to be taking tamsulosin (Flomax) for urinary flow issues. In this situation would you elect to use a pupil expansion ring, iris hooks, or nothing extra? What would be your preferred technique? Keep in mind that the goal of surgery is to provide the best and safest result for the patient and surgeons have varying skills and comfort levels with different clinical scenarios. Enter your comment below and then watch the video.

click to learn from this complete cataract case and see what I choose to do:

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.

8 Comments

  5. I don’t think pupil expansion ring would be of any benefit.I would try supra capsular phaco without any device first.if I felt I had to than I would prefer iris hooks

    Reply
  6. Pingback: Protecting Sight #325: You don't have to be an expert to solve big problems. Small pupils & hypotensive optic neuropathy. My chat on lifelong learning, the surgical mindset, & social media branding with Honestly Bilal. | Protecting Sight

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