advertisement
Abstract #6280 Published in IGR 2-2
Intraocular pressure response after administration of 3 different viscoelastic agents after cataract operation
Lüchtenberg M; Lüchtenberg C; Lang M; Badachschi N; Emmerich KHOphthalmologe 2000; 97: 331-335
By using three different viscoelastics (Adatocel (methylhydroxypropylcellulose), Amvisc Plus (sodium hyaluronate) and Healon (sodium hyaluronate)) a prospective randomized study was conducted to investigate whether postoperative intraocular pressure shows significant differences according to the viscoelastics used after 150 cases of cataract surgery. PATIENTS AND METHODS: The inclusion criteria for this study were: extracapsular cataract extraction via the usual small-incision techniques and endocapsular posterior-chamber lens implantation. A total of 150 eyes were operated on. The patients were randomly assigned to three groups of viscoelastics, 50 cases used Adatocel, 50 Amvisc Plus, and 50 Healon. As far as possible, the viscoelastics were sucked out under visual control. Intraocular pressure (IOP) was measured after six and 24 hours. RESULTS: Six hours postoperatively, no statistically significant difference between the intraocular pressure after using different viscoelastics (Adatocel: 19.6 ± 9.7 mmHg, Amvisc Plus: 20.5 ± 9.6 mmHg; and Healon: 21.8 ± 8.8 mmHg) was seen. At 24 hours, IOP was statistically significant higher for Healon than for Adatocel and Amvisc Plus (Adatocel: 16.3 ± 4.8 mmHg, Amvisc Plus: 16.5 ± 4.6 mmHg and Healon: 19.7 ± 6.6 mmHg). CONCLUSIONS: Six hours postoperatively after phacoemulsification there was no significant difference between the IOP using the different viscoelastics Adatocel, Amvisc Plus and Healon. Twenty-four hours postoperatively, a significantly higher intraocular pressure was measured for Healon than for the other viscoelastics. LA: German
Dr. M. Lüchtenberg, Universitäts-Augenklinik, Frankfurt/Main, Germany
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
