We understand that the surgeon induced miosis at the end of my wife's surgery in order to hold the IOL in place. EyeNet Magazine. A pupil affected by Horner's syndrome generally takes 10 to 20 seconds to dilate in dim lighting or a darkened room. The medical term for this common complication is known as posterior capsule opacification (PCO). Drugs that have been identified as potential causes of pharmacologic anisocoria include: Selective serotonin re-uptake inhibitors (SSRIs) used to treat depression, Transdermal scopolamine patches used to treat motion sickness and nausea from chemotherapy. Indian J Ophthalmol. Residual refractive error can also cause positive dysphotopsia, and the right glasses prescription will correct it. Your vision will be blurry at first, then will begin to clear up over the next few days. During this time, you will need to use pupil-constricting eye drops until your pupils return to their normal size. Eye inflammation. }, . However, many IOLs are flexible, allowing a smaller incision that requires few or no stitches. This site complies with the HONcode standard for trustworthy health information: verify here. Many of the causes of pinpoint pupils are serious medical conditions, such as opioid dependency or pesticide poisoning. Protect against the leading cause of blindness in older adults. If right after surgery it ould be due to medications laced n the eye during the procedure. What does it mean when one pupil dilates and What causes one pupil not to react to light properly? Patient undergoing cataract surgery for right eye. Other complications are rare but can include increased eye pressure and retinal detachment. Your cataract surgeon will use a laser to make an opening in the cloudy capsule, allowing light to pass through for clear vision. Careers. If the blurriness does not subside after a week, consult your ophthalmologist. Patients who have cornea disease, such as Fuchs dystrophy, may take longer up to a month or more to get rid of the swelling. Examples include: Aniridia (a complete or partial absence of the iris of one eye), Coloboma (a gap in the iris present at birth, giving the pupil a distinct keyhole or cat-eye appearance), Ectopic pupil (an inherited condition that causes displacement of the pupil and dislocation of the lens). High Eye Pressure. But if it occurs suddenly, this can be a sign of a serious medical condition and you should see an eye doctor immediately. Providers have developed devices, medications and strategies for dealing with intraoperative miosis. Usually this is blunt closed trauma which damages the iris sphincter muscle which constricts the pupil or one of the pathways in the brain which controls it. In this paper, we prospectively studied 2 groups of patients who underwent uncomplicated cataract surgery with posterior chamber lens implantation; 100 patients who had planned extracapsular cataract extraction (ECCE), and 130 patients who underwent phacoemulsification.
pinpoint pupil after cataract surgery