advertisement
BACKGROUND AND OBJECTIVE: To study whether patients with a marked elevation of intraocular pressure (IOP) the day after cataract surgery may have a chronically impaired aqueous outflow. PATIENTS AND METHODS: In 128 consecutive patients, IOP was measured both preoperatively and the day after phacoemulsification and intraocular lens implantation. In the late postoperative period, aqueous outflow facility (C-value) was measured with pneumatonography in patients (n = 7) who experienced a postoperative IOP increase of at least 20 mmHg and in patients (n = 11) with a difference between preoperative and postoperative IOP of not more than 2 mmHg. RESULTS: Aqueous outflow facility was normal in both groups. Mean C-value was 0.32 ± 0.18 μL/min/mmHg in the hypertensive group and 0.23 ± 0.10 μL/min/mmHg in the normotensive group. The difference was not statistically significant (P = .20). CONCLUSIONS: Patients with marked IOP elevation the day after cataract surgery do not seem to have a chronically impaired aqueous outflow facility compared with normotensive patients.
Dr. C.-G. Laurell, St. Erik's Eye Hospital, SE-112 82 Stockholm, Sweden
2.6.2 Outflow (Part of: 2 Anatomical structures in glaucoma > 2.6 Aqueous humor dynamics)
9.4.11.2 Glaucomas in aphakia and pseudophakia (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)