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The Effects of Phaco-Emulsification-Aspiration and Intra-Ocular Lens Implantation on the Pupil: Pupillographic and Pharmacologic Study

 

作者: Mari Komatsu,   Shinji Oono,   Kimiya Shimizu,  

 

期刊: Ophthalmologica  (Karger Available online 1997)
卷期: Volume 211, issue 6  

页码: 332-337

 

ISSN:0030-3755

 

年代: 1997

 

DOI:10.1159/000310823

 

出版商: S. Karger AG

 

关键词: Phaco-emulsification-aspiration;Intra-ocular lens implantation;Miosis;Pupil dynamics;Light reflex;Pupillary sphincter muscle;Pupillary dilator muscle;Drug instillation test

 

数据来源: Karger

 

摘要:

The authors report postoperative change in pupil diameter and pupil dynamics after phaco-emulsification-aspiration and intra-ocular lens implantation by comparing the operated eye and non-operated eye in 20 patients who received unilateral surgery. Miosis was noted in the operated eye throughout the postoperative period in the dark, and also in the light at an early stage after the operation. Both the maximal constriction velocity and maximal dilatation velocity of the light reflex decreased postoperatively, but the constriction velocity alone was accelerated 1 or 2 weeks after the operation. In the drug instillation test, pupillary responses to both neosynephrine and pilocarpine were decreased, indicating damage both to the dilator and sphincter muscles. Since no hypersensitivity of the pupil was noted, lesions in the axonal fibres and denervation were judged to be absent. Postoperative miosis is believed to be explained by irreversible damage to the dilator muscle, as well as by the transient effects of inflammatory substances.

 

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