Dr. ANKIT AGRAWAL

, Dr. SAMEEKSHA, Dr. KRISHNA KUMAR AGRAWAL, Dr. VIJAY KUMAR AGRAWAL

Abstract

Ask any Phacoemulsificafion surgeon, they will tell you that small pupils are almost always a challenge. Be it due to BPH, Diabetes, Uveitis, Pseudoexfoliation, or some other cause. To perform a safe surgery visualisation is most important. A small pupil means less visualisation and thus chances of complications during surgery increase.

In this video, I have shown my technique of implanting a Made in India Pupil Expander device, which is a 4 flanged system.

The ‘Sliding Technique’ demonstrated makes it easier to put the expander in place and tuck all the 4 flanges to the pupil edge, allowing us greater visualisation of the anterior chamber and lens, thus the surgery becomes easier.

In the video, the Pupil Expander holds the iris in cases of suspected IFIS, thus reducing iris catch in Phaco probes.

After completion of surgery, it is easy to disengage the expander and explant it from the eye.