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Abstract #5899 Published in IGR 2-1
Postoperative intraocular pressure elevation after the use of Healon GV in pediatric cataract surgery
Englert JA; Wilson MEJournal of AAPOS 2000; 4:60-61
Intraocular pressure elevation after the use of viscoelastic agents in uncomplicated cataract surgery has been well documented in adults. However, pediatric patients are thought to clear residual viscoelastic agents from the anterior chamber more easily than adults, presumably because of healthier trabecular meshwork. The authors report on a series of four eyes of four children with previously normal intraocular pressure who underwent cataract extraction with primary (three patients) or secondary (one patient) intraocular lens implantation with Healon GV, which was complicated by marked postoperative intraocular pressure elevation (greater than 30 mmHg). The patients, aged five to 14 years, had an intraocular pressure ranging from 34-50 mmHg with Tonopen or applanation tonometry one day postoperatively, associated with nausea, eye pain, and microcystic corneal edema. Viscoelastic material was not entirely removed during surgery. Each of these cases occurred after a change in the authors' preferred viscoelastic agent from one with less viscosity to Healon GV. Medical management controlled the elevated intraocular pressure in all cases without affecting the visual outcome. However, one patient with intractable nausea and vomiting required hospitalization for rehydration. With meticulous removal of all viscoelastic material at the completion of surgery, the authors have not documented any additional cases of postoperative pressure elevation.
Dr. J.A. Englert, Department of Ophthalmology, Medical University of South Carolina, Charleston, SC, USA
Classification:
12.12.2 Extracapsular (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
