ESCRS - PO869 - Comparison Of The Efficacy Of Intracameral Anesthetic And Mydriatic Drug Administration Versus Local Application Of Cyclopentolate For Achieving Mydriasis In Patients Undergoing Cataract Phacoemulsification With Enhanced Monofocal Intraocular Lens

Comparison Of The Efficacy Of Intracameral Anesthetic And Mydriatic Drug Administration Versus Local Application Of Cyclopentolate For Achieving Mydriasis In Patients Undergoing Cataract Phacoemulsification With Enhanced Monofocal Intraocular Lenses

Published 2025 - 43rd Congress of the ESCRS

Reference: PO869 | Type: Poster | DOI: 10.82333/qnrn-ph51

Authors: Adam Marcin Kabiesz* 1 , Piotr Gosciniewicz 1 , Patryk Zemla 2 , Damian Skorupka 3 , Marta Noga-Guzy 3 , Daria Jorg 4 , Joanna Grzbiela 3 , Alfred Niewiem 3 , Michal Kobiela 3 , Jan Komarnicki 3

1Ophthalmology,Zagłębiowski Clinical Hospital,Będzin,Poland;Collegium Medicum,WSB University,Dąbrowa Górnicza,Poland, 2Ophthalmology,Zagłębiowski Clinical Hospital,Będzin,Poland, 3Ophthalmology,Zagłębiowski Clinical Hospital,Bedzin,Poland, 4Collegium Medicum,WSB University,Dąbrowa Górnicza,Poland

Purpose

The presented study aims to determine the possibility of safe performance of phacoemulsification procedure after the use of Cyclopentolate (Cykloftyal 10 mg/ml; 5 ml, Verco, Warsaw, Poland), as the only agent with mydriatic action, in comparison to the preparation administered intracameral drug (Mydrane 0.2 mg tropicamide + 3.1 mg phenylephrine hydrochloride + 10.0 mg lidocaine hydrochloride, Thea, Clermont-Ferrand, France). An additional aspect of the paper is to check the duration of the procedures and analyze visual acuity at different distances (40 cm, 60 cm and 4 meters)

Setting

Zaglebiowski Clinical Hospital, Ophthalmology Deparetment, Bedzin, Poland

WSB University Collegium Medicum, Dabrowa Gornicza, Poland

Methods

Study was performed in single-center clinical institution. 60 patients (120 eyes) were divided into two equal groups based on usage of specific mydriatic drug (Group A – Cykloftyal; Group B- Mydrane). Patients underwent cataract surgery in both eyes using RayOne EMV lenses. Pupil width was measured before and at the end of the procedure. Length of procedure was recorded. Visual acuity was checked before surgery, 2 weeks, 2 and 6 months after the procedures.

Results

There was no statistically significant difference in the length of the procedures (group A - 7.05 min and group B - 6.7 min; p=0.35) and postoperative visual acuity results at all distances. The average difference in the pupil diameter at the beginning of the procedure was 1.12 mm. In group B it was on average 6.19±0.92 mm, in Group A: 7.31±1.12 mm (p=0.04, 95% CI: -1.43; -0.81).

Conclusions

The study shows that it is possible to perform a phacoemulsification procedure in a fully comfortable manner after local application of Cyclopentolate.