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The authors investigated the changes in intraocular pressure (IOP) after non-complicated phacoemulsification with implantation of different types of intraocular lenses (OMMA, silicone, Acrysof) in 40 patients. From the results, it was clear that, in some patients, already four hours after surgery, the IOP had risen to an average of 31 ± 17 mmHg. The magnitude of the IOP was not influenced by the size of the surgical wound or the type of intraocular lens. In values below 30 mmHg, the authors merely recommend follow-up of the patients, since they assume that these values have a positive impact on closure of the tunnel incision. In the differential diagnosis, it is important to consider the postoperative inflammatory reaction, absorption reaction of residual viscoelastic material, pupillary block while the lenticular capsule is intact, and undiagnosed glaucoma. In values above 30 mmHg, the authors recommend administration of beta-blockers, Diluran and antiphlogistics.LA: Czech
Dr. S. Synek, Klinika nemoci ocnich a optometrie FN u sv. Anny a LF MU, Brno, Czechia
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)