#1 MSICS with stretch pupilloplasty скачать в хорошем качестве

#1 MSICS with stretch pupilloplasty

A case of dense cataract with senile miosis not responding to Mydriatics is taken up for cataract extraction. Manual small incision cataract suregry with stretch pupilloplasty is being demonstrated. An optimum dilatation was achieved after stretch pupilloplasty. In Stretch pupilloplasty, pupil is manually dilated using kuglen's hooks, diagonal equal stretch forces are applied. Rigid pupil is an atonic pupil which does not respond to Mydriatics preoperatively and are dealt with using various pupil expansion techniques such as pupil expanders , Visco mydriasis using heavy OVD, intracameral adrenaline , sphincterectomy and stretch pupilloplasty. Floppy nature of Iris is usually noted in rigid pupil cases as shown in video. So when one encounters Non-getting dialted pupil, a possibility of intraoperative floppy iris should be kept in mind.