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Abstract #15616 Published in IGR 1-3
Surgical outcome after early intraocular pressure elevation following combined cataract extraction and trabeculectomy
Porges Y; Ophir AOphthalmic Surgery and Lasers 1999; 30: 727-733
BACKGROUND AND OBJECTIVES: The authors report on the incidence and course of early postoperative intraocular pressure (IOP) elevation and related surgical outcome following combined manual extracapsular cataract extraction (ECCE), using a sclerocorneal tunnel incision and trabeculectomy. PATIENTS AND METHODS: The combined procedure was the initial surgery in each eye. Intraocular pressure was measured during the first four days, at one week, and thereafter following surgery. RESULTS: Of 38 eyes (38 consecutive adults), postoperative IOP elevation to >25 mmHg was found in seven eyes (18.4%) during the first three postoperative days. The IOP was reduced to < or = 20 mmHg without hypotensive medication in three of them within the first three to seven postoperative days, and remained so after seven to 16 months (mean, 10.3±4.9 months). Each of the other four eyes underwent argon-laser suture lysis eight to ten days after surgery due to unstable IOP which rose to >30 mmHg. Two weeks after the operation and thereafter, i.e., after eight to 22 months (mean, 12.8±6.4 months), each of these four eyes needed one to four (mean, 2.5±1.3) hypotensive medications. CONCLUSION: This study raises the possibility that in eyes with early IOP elevation, a delay in promoting aqueous outflow beyond a critical period during the first postoperative week might become a risk factor for full surgical success.
Dr. Y. Porges, Department of Ophthalmology, Hillel-Yaffe Medical Center, Hadera; Israel
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
