Postoperative corneal thickness measurement may therefore become a marker of endothelial damage after phacoemulsification.

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PurposeTo investigate preoperative aqueous flare as a predictive factor for proliferative vitreoretinopathy (PVR) leading to relapse in patients with primary rhegmatogenous retinal detachment repear.MethodsPreoperatively, the aqueous flare of 100 consecutive patients with unilateral rhegmatogenous retinal detachement (RD) was measured with Kowa FM‐500 laser flare‐cell meter. All patients were evaluated at 1 month and 6 months or just after recurence.ResultsTwenty eyes underwent redetachment secondary to PVR developpement. The mean value of flare of patients that redetached was 48.12 pc/ms versus 17.74 pc/ms for those who did well (p = 0.002). We observed that 17/20 recurrences with PVR (85%) and 24/76 that did well (31.6%) had flare greater than 15 pc/ms (p = 0.0355). Moreover in patients without preoperative clinical signs of PVR, the sensitivity of the laser cell flare to predict post operative PVR when flare reached 15 pc/ms was 100% with 77.5% specificity and 31.25% positive predictive value.ConclusionsOur study shows the effectiveness of the laser flare cell meter in detecting eyes at risk of developing post operative PVR leading to recurrences. The laser flare‐cell meter is a non invasive tool that informs the surgeon on the potential severity of the detachment.

Purpose In most cases, filtering glaucoma surgery is performed as an outpatient procedure and recommendations suggest performing follow‐up at least at Day 1, Day 8, Day 15 and Day 30. As many of our patients have difficulties to come to follow‐up and because of the economical cost of medical transportations we decided to evaluate the results of a group of patients without clinical control at Day 1. Methods Retrospective monocentric study in the department of ophthalmology. All patients (naïve of surgical treatment for glaucoma) underwent of surgery of a primary open‐angle glaucoma in an ambulatory care unit between May 2014 and July 2016. A nurse made a phone call to the patients at Day 1. Clinical controls were due at Day 5 and Day 21. In case of problems detected during the phone call, patients were examined earlier. Results One hundred and forty‐four eyes (126 patients) were consecutively included in our study. The mean preoperative IOP was 20.4 ± 6.4 mmHg. After the phone call, only five patients were examined before the first planned control at Day 5. For 3 of them the examination revealed the presence of a hyphema and their topical treatment was changed. The others two patients had no medical modifications. At Day 5, the mean IOP was 10.6 ± 5.9 mmHg. Thirty‐two eyes (22.2%) needed a change in their treatment at Day 5. The mean IOP at Day 21 was 12.9 ± 4.6 mmHg. Our success rate (IOP < 21 mmHg with no topical) at day 21 was 95.6%. Conclusions We replaced the Day 1 control with a phone call. We didn't notice a substantial rate of complications. The criteria of success of a filtering glaucoma surgery vary according to the different articles in the literature. Our success rate seems to be similar to those we find in the literature and may suggest that the control at Day 1 is not necessary if the surgery is not complicated.