# A case series on minor incision cataract surgery in small pupil without any aids

## TL;DR

This paper presents a case series on successfully performing cataract surgery in patients with small pupils without using additional tools, showing it's effective in resource-limited areas.

## Contribution

The study introduces techniques for managing small pupil cataract surgery without secondary aids, suitable for low-resource settings.

## Key findings

- Small incision cataract surgery can be performed successfully in small pupils without secondary aids.
- Proper techniques reduce intra and post-operative complications in such cases.
- This approach is viable in resource-limited settings for effective visual recovery.

## Abstract

Cataract is the leading cause of treatable blindness worldwide, and cataract surgery complications leading to blindness are a common cause of preventable blindness. All surgeons aim to obtain a good pupil dilation intra-operatively to ease the surgery. The small pupil is often challenging and contributes to intra and post-operative complications. Phacoemulsification, though, has many options to tackle small pupil. The same options cannot be employed in small incision cataract surgery, especially using mechanical pupil expanders. Small incision cataract surgery is very commonly performed in developing countries. The authors describe a case series of small pupil cataracts managed successfully without the use of any secondary aids to cause pupil dilatation and explain the techniques employed to manage small pupil while performing Small incision cataract surgery. With correct techniques, operative complications of small pupil can be minimized, and small incision cataract surgery is still a helpful option, especially in resource-limited settings, to provide an excellent visual recovery.