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Editors Selection IGR 12-3
Surgery: Cataract extraction after GDD
Comment by Paul Palmberg on:
14072 Effect of temporal clear corneal phacoemulsification on intraocular pressure in eyes with prior Ahmed glaucoma valve insertion, Sa HS; Kee C, Journal of Cataract and Refractive Surgery, 2006; 32: 1011-1014
See also comment(s) by Tarek Shaarawy •Sa and Kee (916) have conducted a small, but interesting retrospective study of the effect of performing a temporal clear cornea phacoemulsification upon the IOP control and need for medications in patients with a previous placement of an Ahmed Glaucoma Implant. They found that performance of cataract surgery did cause a hypertensive phase in 6 of the 13 patients at about 1 month after surgery, requiring additional medication. However, the hypertensive phase was controlled by additional medication at 1-6 months and resolved by 1 year, and no patient failed control. These results parallel those which have been reported for clear cornea phacoemulsification in patients with pre-existing filtering blebs.
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