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Abstract #48069 Published in IGR 13-4

Effect of the Honan intraocular pressure reducer on intraocular pressure increase following intravitreal injection using the tunneled scleral technique

Kim KS; Jee D
Japanese Journal of Ophthalmology 2011; 55: 632-637


OBJECTIVE: To determine the effect of the Honan intraocular pressure reducer (HIPR) on the rise in intraocular pressure (IOP) after an intravitreal injection using a tunneled scleral incision. DESIGN: This was a prospective, comparative, controlled, non-randomized clinical study. METHODS: Sixty eyes of 60 patients who received intravitreal injections with the tunneled scleral technique were allocated into two groups, one with and one without application of the HIPR. The pre-operative IOP both before and after application of the HIPR, and the IOP immediately postoperative, and at 3 and 10 min postoperatively were evaluated. The vitreous reflux was estimated by measuring the large diameter of the sub-conjunctival bleb formed after intravitreal injection. RESULTS: The pre-operative IOP in the HIPR group was significantly lower than that in the non-HIPR group following application of the HIPR. The immediate postoperative IOP was significantly lower in the HIPR group than in the non-HIPR group. The IOP at 10 min postoperatively was lower in the HIPR group than in the non-HIPR group. There was no difference in the amount of vitreous reflux between the HIPR and the non-HIPR groups. CONCLUSION: The use of the HIPR reduces the IOP after an intravitreal injection using the tunneled scleral technique. However, the HIPR does not appear to affect a reduction in the vitreous reflux.

Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.


Classification:

15 Miscellaneous
9.4.11.5 Glaucomas associated with vitreoretinal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)



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