الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
One of the most difficult situations that faces any phaco surgeon is
intraoperative miosis and poorly dilated cases.
Regardless of surgical technique, adequate mydriasis is essential
for all stages of cataract surgery. Pupil contraction during
phacoemulsification or the irrigation/aspiration phase increases the
chances of iris damage, incomplete cortical material removal, posterior
capsule rupture, vitreous loss and difficulty with intraocular lens (IOL)
implantation into the capsular bag.
This study included 90 eyes of 82 patients. All underwent
uneventful phacoemulsification between December 2014 till December
2015. All patients were evaluated preoperatively for their BCVA, IOP,
CCT, Endothelial cell count, CMT, Pupil diameter, pulse rate, blood
pressure.
We reached an understanding that intracameral epinephrine even in
higher concentrations is effective in pupillary dilataion especially in cases
with poorly dilated cases by usual topical mydriatics.
It is also safe on cardiovascular system, cornea and macula and
doesn’t affect visual outcome when it is used, but even it decrease
complications by proper dilatation.