Abstract

This video based course will provide comprehensive instructions on strategies, devices and techniques to tackle pre operative and intraoperative small pupil in SICS, Phacoemulsification & Femto phaco. Topics will include: Assessment of small pupil & co-morbidities, Pseudoexfoliation, Fluidics, Viscomydriasis, Iris Hooks, Pupil expansion rings (Malyugin) and new pupil expansion rings (B-HEX). Stepwise instructions for each of these devices will be provided. Anticipation, recognition and management of IFIS will be specially emphasized. At the conclusion of this course, the attendee will be able to distinguish the elastic small pupil of IFIS from the non-elastic small pupil due to other causes and also develop a clear strategy to deal with a non dilating or constricting pupil with or without a floppy and prolapsing Iris, with judicious use of fluidics, viscoelastics and devices like Iris hooks and rings.