Intraocular Pressure Change Following Cataract Surgery in Patient with High Intraocular Pressure.
- Author:
Gi Bok GO
1
;
Dong Won KIM
;
Nam Ho BAEK
Author Information
1. Department of Ophthalmology, Capital Armed Forces General Hospit, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Extracapsular cataract extraction with posterior chamber intraocular lens;
Intraocular pressure change;
Glaucoma
- MeSH:
Cataract Extraction;
Cataract*;
Diabetic Retinopathy;
Follow-Up Studies;
Glaucoma;
Glaucoma, Open-Angle;
Humans;
Intraocular Pressure*;
Lenses, Intraocular;
Postoperative Complications;
Retrospective Studies;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1993;34(11):1128-1134
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We retrospectively evaluated change of the intraocular pressure(IOP) after extracapsular cataract extraction with posterior chamber intraocular lens insertion without a filtering procedure in patients who have had high IOP preoperatively. The study included 1geyes of 15 patients with a mean age of 57 years. The follow-up period ranged from 3 months to 24 months(average 7 months). Their mean preoperative IOP was 19.35 mmHg and was 14.29 mmHg about seven months after operation. The mean reduction of rap was 5.06 mmHg(26%). Mean IOP reduction was 4.82 mmHg(25%) in open-angle glaucoma and 6.09 mmHg(32%) in angleclosure glaucoma. In this study 15 of 19 eyes(79%) required glaucoma medication preoperatively. However, 6 of 15 eyes(40%) required a smaller number of medication postoperatively. Postoperatively, 18 of the 19 eyes of 95% achieved 0.6 or better visual acuity. One eye with visual acuity 0.2 was not improved due to diabetic retinopathy. Complications during surgery were not detectable. But immediate postoperative complications included hyphema(1 eye), prolonged punctate keratitis(2 eyes), cyclitic membrane(1 eye), and coneal abrasion(1 eye).