Cataract, Small Pupil
Conditions
Keywords
Small pupil
Brief summary
To evaluate the intraoperative stability, safety and overall efficacy of the Canabrava Ring (AJL - SPAIN) when used to expand pupils with less diameter than 5 mm and pupils with sphincter synechiae.
Detailed description
In this consecutive case series, 30 eyes of 29 patients underwent cataract surgery using a new disposable small-pupil expansion device, Canabrava's Ring (AJL Ophthalmic, Spain). It is the first iris expansion ring produced with indents that do not align with each other in the superior and inferior regions, resulting in a small vertical length (0.4mm) that minimizes risk of endothelial contact. All eyes had poorly preoperatively dilated pupils of less than 5mm. Fifteen eyes had significant infective or traumatic pathology preoperatively. Vertical and horizontal pupil diameters were evaluated pre-, intra- and 1 month postoperatively, and were used to calculate pupil circumference. Intraoperative and postoperative pupil circumference comprised the primary outcomes of interest.
Interventions
The device is used during cataract surgery to help dilate small pupils (under 5mm)
Sponsors
Study design
Eligibility
Inclusion criteria
* clinical indication for cataract surgery, age of at least 18 years, pupil diameter less than 5mm after dilation with phenylephrine and tropicamide, and lens with any degree of opacity.
Exclusion criteria
* eyes unable to perceive light during visual acuity testing, pupils with a diameter greater than 5mm and clear lenses
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of adverse events | 30 days after surgery | Safety of the material of the device from break, lesion of eye structures and iritis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stability of the device during surgery | During surgery | Evaluate whether the device remains stable and attached to the iris during the entire surgery |