{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:20:20Z","timestamp":1787772020639,"version":"build-2784847793"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To study the pupil dynamics with premixed intracameral anesthetic mydriatic combination of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) in pediatric cataract surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Consecutive children aged \u226412 years planned for cataract surgery were recruited. A commercially available premixed combination of phenylephrine (0.31%), tropicamide (0.02%), and lidocaine (1%) was injected at the beginning of surgery without any topical\/infusion drugs for mydriasis. Pupil sizes at various points of surgery were studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We recruited 75 patients with a mean age of 24.3 \u00b1 33.4 months (range: 1 month\u201311 years). Adequate mydriasis with a single injection was achieved in 93.5% (n = 73 eyes of 70 patients) without additional pharmacotherapy or intervention. The mean pupillary diameter increased from 1.8 \u00b1 0.79 to 6.1 \u00b1 1.4 mm after injection (mean change of 4.2 \u00b1 1.25 mm from baseline). The mean variability in pupillary diameter was 0.73 \u00b1 1.3 mm. In five eyes, good dilatation was not possible even after repeat injection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Fixed-dose premixed intracameral injection is effective in pupil dilatation. It alleviates the need for any topical dilators or additional intraoperative supplementation for pediatric cataract surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2628_23","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T04:03:05Z","timestamp":1709870585000},"page":"1017-1020","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Cataract surgery in children using intracameral mydriatic"],"prefix":"10.4103","volume":"72","author":[{"given":"Jaspreet","family":"Sukhija","sequence":"first","affiliation":[{"name":"Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savleen","family":"Kaur","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Kumari","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kajree","family":"Gupta","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parul Chawla","family":"Gupta","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,3,8]]},"reference":[{"key":"R1-20260506","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1097\/j.jcrs.0000000000000194","article-title":"Safety and efficacy data supporting U.S. FDA approval of intracameral phenylephrine and ketorolac 1.0%\/0.3% for pediatric cataract surgery: Clinical safety and pupil and pain management","volume":"46","author":"Wilson","year":"2020","journal-title":"J Cataract Refract Surg"},{"key":"R2-20260506","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1016\/j.jcrs.2007.03.025","article-title":"Pediatric intraoperative floppy-iris syndrome","volume":"33","author":"Wilson","year":"2007","journal-title":"J Cataract Refract Surg"},{"key":"R3-20260506","doi-asserted-by":"crossref","first-page":"55","DOI":"10.4103\/0974-9233.75888","article-title":"Management of intraoperative miosis during pediatric cataract surgery using healon 5","volume":"18","author":"Jhanji","year":"2011","journal-title":"Middle East Afr J Ophthalmol"},{"key":"R4-20260506","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1136\/bjophthalmol-2015-307287","article-title":"Use of the Delphi process in paediatric cataract management","volume":"100","author":"Serafino","year":"2016","journal-title":"Br J Ophthalmol"},{"issue":"Suppl 1","key":"R5-20260506","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/S0886-3350(96)80162-3","article-title":"Comparison of diclofenac sodium and flurbiprofen for inhibition of surgically induced miosis","volume":"22","author":"Roberts","year":"1996","journal-title":"J Cataract Refract Surg"},{"key":"R6-20260506","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1038\/s41433-020-1115-6","article-title":"Cataract management in children: A review of the literature and current practice across five large UK centres","volume":"34","author":"Self","year":"2020","journal-title":"Eye (Lond)"},{"key":"R7-20260506","first-page":"11206721211006575","article-title":"Intracameral anesthetic mydriatic (ICAM) assisted pediatric cataract surgery","volume":"2021","author":"Kaur","journal-title":"Eur J Ophthalmol"},{"key":"R8-20260506","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1111\/j.1442-9071.2010.02456.x","article-title":"Intraoperative mydriasis by intracameral injection of mydriatic eye drops: In vivo efficacy and in vitro safety studies","volume":"39","author":"Mori","year":"2011","journal-title":"Clin Exp Ophthalmol"},{"key":"R9-20260506","doi-asserted-by":"crossref","first-page":"81.","DOI":"10.1186\/s12886-020-01343-x","article-title":"Intracameral Mydrane (ICMA), Ethics Group. 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