Intracameral Mydriasis Versus Topical Mydriasis in Cataract Surgery

Inclusion Criteria

• •Ability to give consent
• •Greater than 18 years of age
• •Planned clear cornea cataract extraction and placement of foldable posterior chamber intraocular lens
• •No secondary procedure planned (i.e. trabeculectomy, keratectomy, corneal transplant, vitreo-retinal procedure etc.)
• •Systemic condition capable of undergoing topical anesthesia
• •No previous intraocular surgery
• •Pseudoexfoliation syndrome (PXF) for group 1
• •No Pseudoexfoliation syndrome for group 2
• •Any iris pathology including but not limited to posterior synechia, iridocorneal endothelial syndrome, corectopia, traumatic mydriasis, Horner's syndrome, Adie's pupil, cyclodialysis, iridodialysis
• •Previous or concurrent use of Flomax® or similar alpha-antagonist medication
• •Corneal pathology affecting pupil magnification or measurement (keratoconus, peripheral thinning, sclerocornea, scarring)
• •Uncontrolled Hypertension (greater than 170/90 on pre-operative assessment on day of surgery as measured by automated DATEX monitor)