Intraocular pressure in the first days after implantation of posterior chamber lenses with the use of sodium hyaluronate (Healon®)

Næser, Kristian; Thim, Kirsten; Hansen, Tina; Degn, Torsten; Madsen, Sabine; Skov, Jane

doi:10.1111/j.1755-3768.1986.tb06929.x

Cited by 86 publications

(25 citation statements)

References 12 publications

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“…While this increase is usually well-tolerated in normal eyes, eyes with glaucoma do have the risk of developing visual function loss during this episode. [10][11][12][13] In the present study, we found a significant increase in IOP on the first postoperative day from 15.6 to 19.7 mmHg. Approximately 31% had high IOP on the first postoperative day.…”

Section: Discussionsupporting

confidence: 59%

Intraocular Pressure Changes Following Phacoemulsification

Karataş¹,

Yaycıoğlu²,

Canan³

et al. 2012

Turkiye Klinikleri J Med Sci

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. Intraocular pressure values of preoperative and postoperative first day, first week and first month visits were recorded. Intraocular pressures over 22 mm Hg were considered as high IOP. Either anterior chamber decompression or antiglaucomatous medication was used to decrease the postoperative rise in IOP. Changes in IOP were analyzed using ANOVA. R Re es su ul lt ts s: : The mean preoperative IOP was 15.6±4.3 mmHg, which increased to 19.7±9.0 mmHg on the 1st day (p<0.001). The IOP decreased significantly to 12.7±4.5 mmHg at 1 st week, and 12.8±3.7 mmHg at 1 st month (p<0.001, both). In 249 (30.7%) eyes, high IOP was detected on the first day. In 114 (45.8%) of these eyes, IOP was reduced by anterior chamber decompression while in 73 (29.3%) eyes glaucoma medication was prescribed. At first month 13 (1.6%) eyes had high IOP. C Co on nc cl lu us si io on n: : Although, a rise in IOP remains a problem in the postoperative first day; both anterior chamber decompression and glaucoma medication seem to be effective and safe to overcome thiscondition. In short term, uneventful phacoemulsification and intraocular lens implantation results in a decrease in IOP.K Ke ey y W Wo or rd ds s: : Phacoemulsification; intraocular pressure; glaucoma Ö ÖZ ZE ET T A Am ma aç ç: : Fakoemülsifikasyonun göz içi basıncı (GİB) üzerindeki etkisinin ve cerrahi sonrası yüksek GİB olgularına yaklaşımın değerlendirilmesi. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Başkent Üniversitesi Adana Araştırma ve Uygulama Merkezi'nde komplikasyonsuz fakoemülsifikasyon cerrahisi geçiren 584 (330 erkek, 254 kadın) hastanın 812 gözüne ait veriler retrospektif olarak incelendi. Hastaların yaşları 26 ile 89 (65,5±9,8) arasında değişmekteydi. Ameliyat öncesi ve ameliyat sonrası 1. gün, 1. hafta ve 1. ay vizitlerindeki GİB değerleri kaydedildi. Yirmi iki üzerindeki değerler yüksek GİB olarak kabul edildi. Ameliyat sonrasında yüksek GİB değerlerini düşürmek için ön kamaradan boşaltma veya antiglokomatöz ilaç kullanımı tercih edildi. Göz içi basıncındaki değişimleri karşılaştırmak için ANOVA kullanıldı. B Bu ul lg gu ul la ar r: : Ameliyat öncesi ortalama GİB değeri 15,6±4,3 mmHg bulundu ve ameliyat sonrası 1. günde 19,7±9,0 mmHg'ya yükseldi (p<0,001). Göz içi basıncı, ameliyat sonrası 1. haftada 12,7±4,5 mmHg ve 1. ayda 12,8±3,7 mmHg olarak bulundu (her ikisi için de p<0,001). Ameliyat sonrası 1. günde 249 (%30,7) olguda yüksek GİB ölçüldü. Bu olguların 114'ünde (%45,8) GİB, ön kamaradan boşaltma yoluyla düşürülürken, 73 (%29,3) olguya antiglokomatöz ilaç reçete edildi. Birinci ayda 13 (%1,6) olguda yüksek GİB tespit edildi. S So on nu uç ç: : Ameliyat sonrası 1. günde göz içi basıncında tespit edilen yükselme sık görülen bir sorun olmakla beraber, hem ön kamaradan boşaltma, hem de antiglokomatöz ilaç kullanımı bu durumun üstesinden gelmek için etkin ve güvenli yöntemlerdir. Komplikasyonsuz fakoemülsifikasyon, ameliyat sonrasında kısa vadede GİB'de azalma sağlar.

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Section: Discussionsupporting

confidence: 59%

Intraocular Pressure Changes Following Phacoemulsification

Karataş¹,

Yaycıoğlu²,

Canan³

et al. 2012

Turkiye Klinikleri J Med Sci

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“…2 A partial list of the factors that can elevate IOP in the immediate postoperative period include damage to the trabecular meshwork (Campbell DG, Grant WM. IOVS 1977; 16:ARVO Abstract 10), use of ophthalmic viscosurgical devices (OVDs), 3,4 inflammatory debris, hyphema, pupillary block, and peripheral anterior synechias. Postoperative hypotony is relatively uncommon in the era of small-incision cataract surgery, but if present, it may predispose to intraocular infection.…”

Section: Ascrs and Escrsmentioning

confidence: 99%

Evaluation of intraocular pressure in the immediate postoperative period after phacoemulsification

Shingleton¹,

Rosenberg²,

Teixeira³

et al. 2007

Journal of Cataract and Refractive Surgery

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Postoperative hypotony (IOP <5 mm Hg) occurred in 19 (6.1%) of 310 eyes. At 1 day, IOP higher than 30 mm Hg was more frequent in glaucoma eyes than in normal eyes. Although there were no direct problems related to hypotony at 30 minutes or to elevated IOP (>30 mm Hg) at 1 day, surgeons should be aware of and check for IOP variability (low and high) that can occur in normal, glaucoma, and glaucoma-suspect eyes within the first 24 hours after surgery.

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“…MacRae et al (1983) found that Healon better protected the corneal endothelium from injury than did HPMC, but also that Healon induced the highest increase in post-operative intraocular pressure. The hyaluronate-induced increase in post-operative intraocular pressure has also found by other investigators (Barron et al 1985;Naeser et al 1986). …”

Section: Discussionmentioning

confidence: 64%

Long‐term results of extracapsular cataract extraction with posterior chamber lens implantation:

Storr‐Paulsen

Larsen

1991

Acta Ophthalmologica

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We investigated the frequency of surgical complications and the long-term outcome in terms of visual acuity, intraocular pressure and post-operative complications in 206 extracapsular cataract extraction procedures with posterior chamber lens implantation using either sodium hyaluronate 1% (Healon) or hydroxypropyl-methylcellulose 2% over a follow-up period of 12 months. We found no significant difference in the results of using either of the two viscoelastic agents.

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Intraocular pressure in the first days after implantation of posterior chamber lenses with the use of sodium hyaluronate (Healon®)

Cited by 86 publications

References 12 publications

Intraocular Pressure Changes Following Phacoemulsification

Intraocular Pressure Changes Following Phacoemulsification

Evaluation of intraocular pressure in the immediate postoperative period after phacoemulsification

Long‐term results of extracapsular cataract extraction with posterior chamber lens implantation:

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