Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Cataract surgery is one of the most common ophthalmic procedures performed worldwide. Small pupil size during surgery presents unique challenges that may lead to higher rates of intraoperative complications and affect postoperative visual outcomes. This study aimed to assess the impact of small pupil size on intraoperative complications and postoperative outcomes in cataract surgery. This cross‐sectional study included 50 patients undergoing cataract surgery at a tertiary care center, with 25 patients having small pupils and 25 having normal pupils. Data were collected on intraoperative complications, such as posterior capsular rupture, vitreous loss and iris damage. Postoperative visual outcomes, including visual acuity, refractive errors and the need for corrective lenses, were also assessed. Odds ratios (OR), 95% confidence intervals (CI) and p‐values were calculated to compare outcomes between the two groups. Intraoperative complications were significantly higher in the small pupil group (40%) compared to the normal pupil group (12%) (OR: 4.67, 95% CI: 1.20‐18.11, p=0.02). Posterior capsular rupture was observed in 20% of small pupil cases versus 4% in normal pupils (OR: 6.00, p=0.12). Postoperative visual acuity of 20/40 or better was achieved in 80% of small pupil cases compared to 92% in the normal pupil group (OR: 0.42, p=0.26). Despite the higher intraoperative risks, final visual outcomes between the two groups were comparable. Small pupil size significantly increases the risk of intraoperative complications in cataract surgery. However, with appropriate management, including the use of adjunctive measures such as pupil expansion devices, satisfactory postoperative visual outcomes can still be achieved. Further research with larger sample sizes and longer follow‐up periods is necessary to better understand the long‐term effects of small pupil size on cataract surgery outcomes.
How to cite this article:
Praveen Deshpande, Praveen Sadanand and B. Jayashree. Impact of Small Pupil Size on Outcomes of Cataract Surgery: A Cross‐Sectional Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.463.467
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.463.467