Late Intraocular Pressure and Complications after Extracapsular Cataract Extraction Using Two Different Viscoelastic Agents: Healon® vs Methylcellulose 2%

Stork-Paulsen, Allan; Vangsted, Peter; Perriard, Andreas

doi:10.1016/s0955-3681(13)80240-7

Cited by 2 publications

(1 citation statement)

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“…This is clearly a drawback to the study, but ethical and practical aspects caused us devide the cataract patients with coexisting open angle glaucoma on the basis of their preoperative IOP and their compliance. All previous studies relating to ECCE show a maximum postoperative reduction in IOP of 1-3 mmHg, which would be insufficient to many of our high-tension patients (Savage et al 198.5;Obstbaum 1986;Handaet al 1987;Storr-Paulsen et al 1994). On the other hand, an IOP reduction of up to 20-25 mmHg in the first postoperative week, as seen in the present study, would be critical to many of the normotensive eyes.…”

Section: Discussionmentioning

confidence: 72%

Indications and efficacy of combined trabeculectomy and extracapsular cataract extraction with intraocular lens implantation in cataract patients with coexisting open angle glaucoma

Storr‐Paulsen

Perriard

Vangsted

1995

Acta Ophthalmologica Scandinavica

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In an observational study 19 eyes with cataract and coexisting primary open angle glaucoma were scheduled to undergo combined procedure with ECCE-IOL and trabeculectomy. The aim of the present study was to investigate the results and the efficacy of combined surgery, when we extended the indication for surgery. Thus the surgical decision making was not based solely upon IOP readings, but also involved social/psychological factors. Median decrease in IOP (IOPpost-IOPpre) was significant through a 12-month observation period, p < 0.001. The number of medications dropped from 1.74 to 0.21, p < 0.01. Complication rate during operation and in the postoperative follow-up period was low. We conclude that it seems justified to extend the indication for combined surgery in cataract patients with coexisting open angle glaucoma in case of uncontrolled IOP, poor compliance, inability of sufficient medical care, or unacceptable medication. We recommend careful monitoring of the early postoperative IOP, even if hypotensive agents are given prophylactically.

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Section: Discussionmentioning

confidence: 72%