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Abstract #5903 Published in IGR 2-1
Intraocular pressure after phacoemulsification with implantation of a silicon plate haptic intraocular lens without viscoelastics
Schipper I; Lechner A; Senn PKlinische Monatsblätter für Augenheilkunde 2000; 216:96-98
BACKGROUND: A rise in intraocular pressure (IOP) after cataract operation is a well known problem. Avoidance of the use of viscoelastics seems to solve the problem. PATIENTS AND METHODS: The IOP was measured in a group of 33 eyes of 33 patients one day before, as well as six and 24 hours, and seven days after phacoemulsification and implantation of a foldable silicone plate haptic intraocular lens without viscoelastics, and by means of an injector and of the anterior chamber maintainer. RESULTS: Mean preoperative IOP was 16.1±3.9 mmHg (range, 10-28 mmHg). Postoperatively mean IOP was 12.3± 3.3 mmHg (range, 5-18 mmHg) after six hours (p < 0.0001), 13.8±2.8 mmHg (range, 7-19 mmHg) after 24 hours (p=0.032), and 15.5±3.4 (range, 10-24) after one week (p=0.39). In none of the eyes was the pressure in the first 24 hours higher than 18 mmHg. When excluding the four patients with glaucoma and PEX, or when taking them as a separate group, the results were similar. CONCLUSIONS: Pressure elevation after cataract operation without the use of viscoelastic substances can be avoided, thus contributing not only to lower costs, but also to higher safety. LA: German
Dr. I. Schipper, Kantonsspital Luzern, Spitalstrasse, CH-6000 Luzern 16, Switzerland
Classification:
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
