Abstract | BACKGROUND: Modern cataract surgery with use of viscoelastics can induce remarkable early spikes of the intraocular pressure (IOP) in patients with glaucoma. PATIENTS AND METHODS: RESULTS:
Cataract surgery was performed without complications. The mean IOP was 18.5 +/- 4.2 mm Hg with 2.1 +/- 1.0 topical medications. 4 hours postoperatively, mean IOP was 31.3 +/- 11.9 mm Hg. In eyes with exfoliative glaucoma (n = 12) the early postoperative IOP was 28.5 +/- 12.0 mm Hg, but without significant difference compared to eyes with POAG (n = 13). The early postoperative IOP showed significant correlation with the maximum IOP in patient's history (p = 0.014). CONCLUSIONS: Patients with late-stage glaucoma can experience considerable early IOP spikes following uneventful cataract surgery, although preoperatively IOP is controlled by topical medications. Postoperative IOP monitoring is recommended at the day of surgery, especially if high IOP values are reported in patient's history.
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Authors | T S Dietlein, J Jordan, S Dinslage, C Lüke, G K Krieglstein |
Journal | Klinische Monatsblatter fur Augenheilkunde
(Klin Monbl Augenheilkd)
Vol. 223
Issue 3
Pg. 225-9
(Mar 2006)
ISSN: 0023-2165 [Print] Germany |
Vernacular Title | Frühe postoperative Augeninnendruckspitzen nach Phakoemulsifikation bei terminalen Glaukomen. |
PMID | 16552655
(Publication Type: English Abstract, Journal Article)
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Topics |
- Aged
- Aged, 80 and over
- Exfoliation Syndrome
(physiopathology, surgery)
- Female
- Glaucoma, Open-Angle
(physiopathology, surgery)
- Humans
- Intraocular Pressure
(physiology)
- Lenses, Intraocular
- Male
- Ocular Hypertension
(diagnosis, physiopathology)
- Phacoemulsification
- Postoperative Care
- Postoperative Complications
(diagnosis, physiopathology)
- Risk Factors
- Statistics as Topic
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