Use of Intracameral Shugarcaine in Cataract Surgery by David Goldman, M.D.
Don't be afraid to use a little "Shugar". The late Dr. Joel Shugar will be remembered for many things, among which is his intracameral cocktail to maintain pupil dilation and decrease iris tone. To create epi-shugarcaine, 9 mL of BSS Plus are mixed with 4 mL of 1:1,000 bisulfite-free epinephrine and 3 mL of 4% preservative-free lidocaine. A small aliquot is injected into the anterior chamber at the beginning of the case and allowed to "marinate" with the iris for at least 15 seconds before proceeding. In my experience I (Read more...)