Intraocular pressure elevation in the early postoperative period after vitrectomy for rhegmatogenous retinal detachment

Hasegawa, Yumi; Okamoto, Fumiki; Sugiura, Yoshimi; Okamoto, Yoshifumi; Hiraoka, Takahiro; Oshika, Tetsuro

doi:10.1007/s10384-011-0094-3

Cited by 12 publications

(10 citation statements)

References 25 publications

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“…However, the other factors, such as cataract surgery, could influence the sclerotomy leakage, because of the different IOP changes between the 27-P and 27-A groups (Table 2). In 1989, Han et al described that combined cataract surgery using pars plana lensectomy was one of the risk factors of immediate postoperative IOP elevation due to lens particles or uveal pigment dispersion,12 nevertheless, the articles in recent years described that combined cataract surgery using phacoemulsification was not a risk factor of immediate postoperative IOP elevation 23,24. Therefore, combined cataract surgery is hard to be a risk of IOP decrease at immediate postoperative period in recent years.…”

Section: Discussionmentioning

confidence: 99%

Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade

Takashina

Watanabe

Tsuneoka

2017

OPTH

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PurposeThe purpose of this study was to compare perioperative intraocular pressures (IOPs) in 25- or 27-gauge microincision vitrectomy surgery (MIVS) and to evaluate the stability of postoperative sclerotomy closure.Materials and methodsThis is a retrospective review of 147 eyes treated for epiretinal membrane by using 25- or 27-gauge MIVS as the initial vitrectomy (25-gauge phacovitrectomy [25-P group]: 73 eyes, 25-gauge vitrectomy alone [25-A group]: 15 eyes, 27-gauge phacovitrectomy [27-P group]: 47 eyes, and 27-gauge vitrectomy alone [27-A group]: 12 eyes). Statistical analyses of perioperative IOPs on preoperative day (PreOp), postoperative day (POD)1, POD2, postoperative week 1, and postoperative month 1 were performed.ResultsAll self-sealing sclerotomies were obtained without gas tamponade at the end of surgery. Also, no significant differences were noted in the age and axial length among the 4 groups and in the surgical time between 25-P and 27-P groups and between 25-A and 27-A groups. Significant decreases in IOP were found at POD1 and POD2 in the 25-P, 25-A, and 27-P groups compared with PreOP, but not in the 27-A group.ConclusionEven though surgeons confirm that there is no leakage from sutureless sclerotomy and that a normal IOP is preserved at the end of 25- or 27-gauge MIVS, there is a possibility of postoperative sclerotomy leakage on the day of the surgery. Furthermore, postoperative sclerotomy self-sealing of the MIVS in previous intraocular lens implantation cases is considered to be acquired easily than that in phacovitrectomy.

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Section: Discussionmentioning

confidence: 99%

Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade

Takashina

Watanabe

Tsuneoka

2017

OPTH

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“…It was known that the IOP was generally lower in retinal detachment eyes and usually elevates in the early postoperative period after retinal detachment repair [16, 17]. However, whether this repair increases the risk of glaucoma remains controversial [17–19].…”

Section: Discussionmentioning

confidence: 99%

The Safety and Efficacy of Adjustable Postoperative Position after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

Zhong

Sun²,

et al. 2017

Journal of Ophthalmology

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Purpose. To report the safety and efficacy of adjustable postoperative position for rhegmatogenous retinal detachment (RRD). Methods. Retrospective review of 536 consecutive RRD eyes that underwent vitrectomy surgery for retina repair from year 2008 to 2014. The retinal breaks were divided into superior, lateral (nasal, temporal, and macular), and inferior locations, according to the clock of breaks. Patients with superior and lateral break location were allowed to have facedown position or lateral decubitus position postoperatively, while patients with inferior break location were allowed to have facedown position. Results. 403 eyes of 400 patients were included. The mean follow-up interval was 22.7 ± 21.3 months. The overall primary retinal reattachment rate was 93.3%. There were 24 (6.0%), 273 (67.7%), and 106 (26.3%) patients with superior, lateral, and inferior break location, respectively. The primary reattachment rate was 95.8%, 92.3%, and 95.3% accordingly. After further divided the break location into subgroups as a function of duration of symptom, postoperative lens situation, number of retinal breaks, and different vitreous tamponade, the primary reattachment rates were all higher than 82%. Conclusion. Adjustable postoperative positioning is effective and safe for RRD repair with different break locations. Choosing postoperative position appropriately according to retinal break locations could be recommended.

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“…Elevated IOP following 20G vitrectomy is well documented in the literature 4 5. Advances in operative technique with the introduction of small port transonjunctival sutureless vitrectomy has led to shorter operative time and quicker patient recovery relative to traditional 20G vitrectomy 3.…”

Section: Discussionmentioning

confidence: 99%

The role of day one postoperative review of intraocular pressure in modern vitrectomy surgery

et al. 2017

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Intraocular pressure elevation in the early postoperative period after vitrectomy for rhegmatogenous retinal detachment

Abstract: IOP elevation in the early postoperative period following vitrectomy for RD is common. The risk factors for IOP elevation include the extent of retinal tears and duration of detachment. Prophylactic treatment may be useful in eyes with higher risks of IOP elevation.

Cited by 12 publications

References 25 publications

Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade

Perioperative changes of the intraocular pressure during the treatment of epiretinal membrane by using 25- or 27-gauge sutureless vitrectomy without gas tamponade

The Safety and Efficacy of Adjustable Postoperative Position after Pars Plana Vitrectomy for Rhegmatogenous Retinal Detachment

The role of day one postoperative review of intraocular pressure in modern vitrectomy surgery

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