narrow pupil following cataract surgery

Discussion in 'Optometry Archives' started by Liz, Jun 23, 2010.

  1. Liz

    Liz Guest

    Just had the other eye done.
    After the operation, drops were administered to make my pupil pinpoint
    This wasn't done with the first operation.
    Is this new? What is its purpose?

    Liz in Indy
    Liz, Jun 23, 2010
  2. Liz

    Liz Guest

    After the operation, drops were administered to make my pupil pinpoint
    I meant besides that.
    Yes, the wound, at least one of them on the cornea, hurts like crazy -
    every time I put those drops in, it feels like it's being cut again.
    I'm trying to keep it immaculate so it will heal. But I didn't
    realize the iris could come out this wound.
    This must be one heck of a drug, because my pupil is a pinpoint - I'm
    guessing it's a 9th of the diameter of the whole iris - and has gotten
    even narrower since yesterday.

    The vision seems in focus today, but everything is very greyed out,
    whether in bright or dim conditions. Can this be only the small
    pupil? Could something else be going on in there?
    Maybe the drug fills the anterior chamber with cloudiness???

    (who is staying here in Cincy rather than leave the city until I'm
    sure the wound is OK, in case I need to get back to the doc quickly)
    Liz, Jun 24, 2010
  3. Liz

    Liz Guest

    I asked doc at post-op this morning why the pupil drug, and he said to
    keep your pressure down. Presssure was 14. So either it's working,
    or it's also needed for something else. or both. I know I sound a bit
    paranoid, but this doc's style is not very forthcoming - he's rather
    abrupt and you sort of have to drag stuff out of him.
    He's supposed to be a good surgeon though. But I wish I knew what was
    going on.

    Liz, Jun 24, 2010
  4. Liz

    Liz Guest

    Today via his staff I asked doc why the pupil-narrowing drug was used
    for this surgery but not the last one, and he replied via his staff
    that he had explained this right after the surgery (when I was still
    groggy from Versed and rather out of it).
    So I still don't know. The person who was with me at the time doesn't
    remember what he said either, except that it wears off in three days.
    I hope I don't have some medical condition I don't know about.
    Cincy, soon to be in Indy
    Liz, Jun 25, 2010
  5. Liz

    Liz Guest

    I found out what they put in my eye: "Miostat", a product name for
    One of my books says,
    "Pupillary constriction [after surgery] .... ensures proper
    positioning of the IOL, and prevents other unwanted complications,
    such as pupillary lens capture."

    So now I wonder, what happened during second surgery that caused them
    concern about these things? I asked, of course, but they wouldn't
    tell me.

    Indianapolis (now clearly in view but with lingering corneal pain)
    Liz, Jul 3, 2010
  6. Liz

    Liz Guest

    You don't know the answer?

    Liz, Jul 4, 2010
  7. Liz

    Liz Guest

    Well, I guess it IS kind of a hopeless question, because the person
    who would know best why he used carbachol is the doctor. But I can't
    seem to get an answer out of him, so a good guess is better than
    nothing. It's frustrating.

    I suppose the pressure could have spiked during the operation, as is
    apparently common during cataract surgery. Or the positions of stuff
    inside the eye might have made him concerned that the IOL might wander
    someplace it shouldn't.

    At any rate, if there is anything you can derive from any of this,
    please let me know.

    Liz, Jul 7, 2010
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