Miotics After Modern Cataract Surgery Are History

Dieleman, Myrthe; Wubbels, René J.; Waard, Peter W.T. de

doi:10.1089/jop.2011.0077

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…Solutions with ionic composition, pH, and osmolarity similar to aqueous humor have been associated with better outcomes (Lucena et al 2011). The use of miotics at the end of the surgery may prevent intraocular lens (IOL) dislocation and the development of peripheral anterior synechiae (PAS) (Dieleman et al 2012 …”

Section: Management Of Cataract Surgerymentioning

confidence: 99%

“…This pupil effect of miotics is believed to prevent dislocation of sulcus-placed IOLs, and development of peripheral anterior synequiae (PAS) by pulling the iris away from the anterior chamber angle and incisions (Dieleman et al 2012). Miotics have also been preconized to prevent increase in intraocular pressure after surgery (Phillipall et al 1997).…”

Section: Mioticsmentioning

confidence: 99%

“…The usefulness of miotics after phacoemulsification in preventing PAS, lens dislocation, and high postoperative intraocular pressure in patients with normal eyes has lost its rationale and, therefore, should not be recommended as routine use after phacoemulsification (Dieleman et al 2012; Linden and Alm 1997).…”

Section: Mioticsmentioning

confidence: 99%

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Corticosteroids and Anti-Complement Therapy in Retinal Diseases

Narayanan

Kuppermann

2016

Handbook of Experimental Pharmacology

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Section: Management Of Cataract Surgerymentioning

confidence: 99%

Section: Mioticsmentioning

confidence: 99%

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Corticosteroids and Anti-Complement Therapy in Retinal Diseases

Narayanan

Kuppermann

2016

Handbook of Experimental Pharmacology

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Lens: Management of Cataract Surgery, Cataract Prevention, and Floppy Iris Syndrome

Crispim

Chamon

2016

Handbook of Experimental Pharmacology

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According to the World Health Organization, cataract is the major cause of reversible visual impairment in the world. It is present as the cause of decreased visual acuity in 33% of the visual impaired citizens. With the increase of life expectancy in the last decades, the number of patients with cataract is expected to grow for the next 20 years. Nowadays, the only effective treatment for cataracts is surgery and its surgical outcomes have been increasingly satisfactory with the technological advancement.Pharmaceutical development has been also responsible for surgical outcomes enhancement. This includes the development of new ophthalmic viscoelastic devices (OVDs), intraocular dyes, mydriatics, miotics, anesthetics, irrigating solutions, and antibiotics. However, the increased costs and demand for cataract surgery may be hard to meet in the future unless clinical preventive and curative options are evaluated.In this chapter, we review the studies that addressed pharmacological applications in cataract.

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Optimal Timing for Intraocular Pressure Measurement Following Phacoemulsification Cataract Surgery: A Systematic Review and a Meta-Analysis

Herspiegel,

Yu,

Algodi

et al. 2024

Vision

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Post-operative increases in intraocular pressure (IOP) are a frequent complication following phacoemulsification cataract surgery. Assessment of IOP is an essential element in post-operative checks. Despite this, guidance regarding the optimal timing remains vague. The purpose of this meta-analysis was to determine the current status of evidence that may help guide best practice regarding the optimal time following phacoemulsification cataract surgery to measure IOP. A comprehensive literature search was performed on MEDLINE and EMBASE. In two stages, independent reviewers screened articles that reported IOP measurements following uncomplicated cataract surgery. Risk of Bias Assessment was conducted following data extraction. The meta-analysis incorporated 57 randomized clinical studies involving a total of 6318 participants and 7089 eyes. Post-operative hour one had a significant decrease in IOP from baseline, while hour two had a non-significant increase. Post-operative hours four, six, and eight were the only timepoints to have a significant increase in IOP. Finally, post-operative day one had no significant change in IOP, while day two had a non-significant decrease. These results suggest that the optimal time to measure IOP is within the first 4–8 h following phacoemulsification cataract extraction. Taking measurements too soon or too late could result in missed IOP spikes.

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Miotics After Modern Cataract Surgery Are History

Abstract: In eyes without co-morbidity, the routine use of physostigmine ointment has lost its rationale.

Cited by 3 publications

References 12 publications

Corticosteroids and Anti-Complement Therapy in Retinal Diseases

Corticosteroids and Anti-Complement Therapy in Retinal Diseases

Lens: Management of Cataract Surgery, Cataract Prevention, and Floppy Iris Syndrome

Optimal Timing for Intraocular Pressure Measurement Following Phacoemulsification Cataract Surgery: A Systematic Review and a Meta-Analysis

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