Increased Intraocular Pressure After Extracapsular Cataract Extraction with Intraocular Lens Insertion.

Baek, Nam Ho; Lee, Seo Hak; Park, Jin Yong

Original Article

Journal of the Korean Ophthalmological Society 1995;36(2):214-219.
Published online February 1, 1995.

Increased Intraocular Pressure After Extracapsular Cataract Extraction with Intraocular Lens Insertion.

¹Department of Ophthalmology, Capital Armed Forces General Hospital, Seoul, Korea.
²Department of Ophthalmology, Catholic University, College of Medicine, Seoul, Korea.

백내장 낭외적출술 및 인공수정체 삽입술후 안압상승

이서학(Seo Hak Lee),박진용(Jin Yong Park),백남호(Nam Ho Baek)

Abstract

Extracapsular cataract extraction(ECCE) with posterior chamber intraocular lens(PC-IOL) implantation is now favorable surgery to improye decreased visual acuity due to cataract. But this surgical method often causes secondary glaucoma, hyphema, uveitis, and macular edema, which result in poor visual outcome. We studied the causes of elevated intraocular pressure(IOP) retrospectively in 15 eyes of 14 patients among 1,657 cases undergone with the implantation of PC-IOL, in recent 5 years. As the preoperative causes, preexisting uveitis(5 eyes, 33%) and underlying glaucoma(3 eyes, 20%) were important factors. Postoperative causes were newly developed uveitis(1 eye, 6.7%), steroid responder(2 eyes, 13.3%) and idiopathy(4 eyes, 27%). From the above results, We should take more meticulous care in intraoperative and postopertive management in cases of preexisting uveitis and glaucoma.

Key Words: Cataract;Glaucoma;Intraocular lens;Intraocular pressure;Uveitis