Pupil constriction post cateract surgery

[tipster42]

My wife underwent cateract surgery yesterday.  She still has a completely constricted pupil.   The docs say the surgeon constricted the pupil with drops during the procedure, and it will resolve in the next few days.  We are concerned, as there has been no change in the pupil size to date.

Please advise

[John C Hagan III, MD, FACS, FAAO]

You need to speak to your surgeon.

JCH III MD

[tipster42]

Thanks for your previous answer. As a follow up:

We understand that the surgeon induced miosis at the end of my wife's surgery in order to hold the IOL in place. Over 48 hours later, her iris is still a virtual pinhole

On her follow-up visit, the surgeon's associate said that all was well, and that the small pupil would relax within a few days.  

My wife is really concerned since in any environment darker than full daylight she sees virtually nothing.  Should we be expecting a gradual return to the correct pupil size,or will it be a more sudden event?.  Also, How long post surgery should this take?  If we can be reassured that it may take some time, then it will help lower the level of anxiety she is experiencing.  Right now it feels like it's never going to open up.

[tipster42]

Thanks,

No Pain. How long should it take to resolve.

[John C Hagan III, MD, FACS, FAAO]

Often medications are put in the eye to constrict the pupil to hold the implant back away from the cornea. It's not a big deal as long as there is no severe pain.

JCH III MD