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).
Cataract Extraction ; Cataract* ; Diabetic Retinopathy ; Follow-Up Studies ; Glaucoma ; Glaucoma, Open-Angle ; Humans ; Intraocular Pressure* ; Lenses, Intraocular ; Postoperative Complications ; Retrospective Studies ; Visual Acuity

We perfomed pars plana vitrectomy together with soft tipped extrusion needle and 23 gauge bent needle. After vitrectomy in 14 eyes of 11 patients of macular cyst, we observed visual acuity and progression of macular cyst to macular hole during follow-up period(average 27.4 months). In 10 out of 14 eyes(71%) visual acuity was improved, in 4 eyes(29%) visual acuity revealed no change. However in all 14 eyes decreaced vision after surgery was not observed. None of 14 eyes have progressed to macular hole during the follow-up period.
Follow-Up Studies ; Humans ; Needles ; Retinal Perforations ; Visual Acuity ; Vitrectomy*