[Phacoemulsification through a small pupil].
OBJECTIVE
To discuss the surgical techniques and attention points in phacoemulsification through a small pupil.


METHODS
Eighty three cataracts of 77 patients were emulsified by using non-cut pupil dilation, cystotome or diathermic high-frequency capsulorrhexis.


RESULTS
The 66 cataracts of 83 eyes were emulsified by means of the above method. After the surgery, all the pupils were recovered to normal size (2 to 3 mm), and none of them were damaged. In 17 eyes, the procedure was performed after separation of synechia and excision of the organized membranes; after the surgery, a round pupil was obtained in 15 cases and an irregular pupil in 2 cases. The visual acuity at postoperative 1 month was >or= 0.5 in 46 eyes (55.4%) and corrected >or= 0.5 in 71 eyes (85.5%).


CONCLUSIONS
After phacoemulsification through a small pupil by non-cut pupil dilation method, the pupil can be recovered to normal and no unfavorable reaction is seen.
Wang
W
W
Department of Ophthalmology, Shanghai Sixth People's Hospital, Shanghai 200233.
Yang
G
G
Ning
W
W
Fang
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D015877:Miosis / Q000601:surgery*; D018918:Phacoemulsification / Q000379:methods*; D014792:Visual Acuity