J Korean Ophthalmol Soc.  1993 Nov;34(11):1128-1134.

Intraocular Pressure Change Following Cataract Surgery in Patient with High Intraocular Pressure

• Go GB
• Kim DW
• Baek NH

Abstract

We retrospectively evaluated change of the intraocular pressure(IOP) after extracapsular cataract extraction with posterior chamber intraocular lens insertion without a filtering procedure in patients who have had high IOP preoperatively. The study included 1geyes of 15 patients with a mean age of 57 years. The follow-up period ranged from 3 months to 24 months(average 7 months). Their mean preoperative IOP was 19.35 mmHg and was 14.29 mmHg about seven months after operation. The mean reduction of rap was 5.06 mmHg(26%). Mean IOP reduction was 4.82 mmHg(25%) in open-angle glaucoma and 6.09 mmHg(32%) in angleclosure glaucoma. In this study 15 of 19 eyes(79%) required glaucoma medication preoperatively. However, 6 of 15 eyes(40%) required a smaller number of medication postoperatively. Postoperatively, 18 of the 19 eyes of 95% achieved 0.6 or better visual acuity. One eye with visual acuity 0.2 was not improved due to diabetic retinopathy. Complications during surgery were not detectable. But immediate postoperative complications included hyphema(1 eye), prolonged punctate keratitis(2 eyes), cyclitic membrane(1 eye), and coneal abrasion(1 eye).

Keyword

Extracapsular cataract extraction with posterior chamber intraocular lens; Intraocular pressure change; Glaucoma

MeSH Terms

Cataract Extraction
Cataract*
Diabetic Retinopathy
Follow-Up Studies
Glaucoma
Glaucoma, Open-Angle
Humans
Intraocular Pressure*
Lenses, Intraocular
Postoperative Complications
Retrospective Studies
Visual Acuity