A STUDY OF EFFICACY AND SAFETY OF A MYDRIATIC COCKTAIL DELIVERED WITH A WICK VERSUS CONVENTIONAL REGIMEN FOR PREOPERATIVE AND INTRAOPERATIVE MYDRIASIS IN CATARACT SURGERY
The aim is to investigate the efficacy and safety of a mydriatic cocktail with a wick versus conventional regimen for mydriasis in cataract surgery. 150 cases from September 2013 to August 2014 at RLJH, Kolar were selected. Randomized into 2 Groups. GROUP I: 75 eyes were dilated with dilating cocktail regimen using Weck cell sponge. GROUP II: 75 eyes were dilated using conventional mydriatic regimen. The mydriasis was measured at 15, 30, and 45 min after instillation using the slit lamp. The intraoperative maintenance of mydriasis was measured with calipers after nucleus delivery and after IOL implantation. The difference in dilation achieved at the in both Groups are 1.26mm, 1.56mm after 30 and 45 minutes. There was a difference of 0.75mm after nucleus delivery and 1.24 mm after intraocular lens implantation. The average pupillary diameter in PXF subgroup was 6.6 mm in Group I and 5.55 mm in control Group and 6.90 mm in Group I and 6 mm in Group II in the diabetic subgroup. These results show that the mydriatic cocktail regimen delivered with a wick is efficacious, safer, and faster acting regimen compared with the conventional method of preoperative mydriasis using topical drops