| Intraocular Pressure Change Following Cataract Surgery in Patient with High Intraocular Pressure. |
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Gi Bok Go, Dong Won Kim, Nam Ho Baek |
1Department of Ophthalmology, Capital Armed Forces General Hospit, Seoul, Korea.
2Department of Ophthalmology, Catholic University, Medical College, Seoul, Korea. |
| 안압이 높은 환자에서 백내장 수술후 안압변화 |
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고기복(Gi Bok Go),백남호(Nam Ho Baek),김동원(Dong Won Kim) |
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| Abstract |
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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). |
| Key Words:
Extracapsular cataract extraction with posterior chamber intraocular lens;Intraocular pressure change;Glaucoma |
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