Abstract

We evaluated the efficacy and safety of intracameral mydriatic and anesthetic combinations for pupillary dilation in pediatric cataract surgery. This prospective series included children <14 years, with visually significant unilateral or bilateral cataracts planned for cataract surgery with/without intraocular lens implantation. At the beginning of surgery, 0.025 ml of a combination of phenylephrine hydrochloride (0.31%), tropicamide (0.02%), and lidocaine hydrochloride (1%) was injected intracamerally. The efficacy of the combination was tested by achieving capsulorhexis and intraocular lens implantation without additional mydriatics. In all cases, pupil dilated as the surgery progressed. No adverse event to the drug was noted. Intracameral mydriatic-anesthetic combination is an effective and safe way to obtain stable mydriasis in pediatric cataract surgery