NDLI: Homeostatic response of intraocular pressure in the early period after sutureless phacoemulsification.

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Homeostatic response of intraocular pressure in the early period after sutureless phacoemulsification.

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Homeostatic response of intraocular pressure in the early period after sutureless phacoemulsification.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cheon, Mi Hyun Kim, Jae Yong Lee, Jooeun Kim, Myoung Joon Kook, Michael Scott Tchah, Hungwon
Description	Country affiliation: South Korea Author Affiliation: Cheon MH ( Department of Ophthalmology, College of Medicine, University of Ulsan College of Medicine, Asan Medical Center, Songpa-gu, Seoul, South Korea.)
Abstract	PURPOSE: To determine the homeostatic response of postoperative intraocular pressure (IOP) by analyzing postoperative IOP trends after sutureless phacoemulsification. SETTING: Asan Medical Center, Seoul, South Korea. DESIGN: Comparative case series. METHODS: Normotensive eyes were treated with sutureless phacoemulsification with in-the-bag posterior chamber IOL (PC IOL) implantation. The patients were randomly divided into 3 groups according to the intended immediate postoperative IOP as follows: Group 1, IOP less than 10 mm Hg; Group 2, IOP 10 to 21 mm Hg; Group 3, IOP over 21 mm Hg. The surgeon intentionally attempted supranormal, normal, or subnormal pressurization. The IOP was measured immediately after surgery and 2 hours, 4 hours, 1 day, 1 week, and 1 month postoperatively. RESULTS: Group 1 included 88 eyes (27.8%), Group 2 included 130 eyes (41.2%), and Group 3 included 98 eyes (31.0%). The mean IOP immediately after surgery was 6.4 mm Hg ± 2.0 (SD), 14.5 ± 3.2 mm Hg, and 27.0 ± 4.6 mm Hg, respectively, with significant differences between the 3 groups (P<.05). However, the IOP values were nearly normalized in the 3 groups 2 to 4 hours postoperatively. Twenty-eight eyes (8.9%) had an IOP lower than 5 mm Hg immediately after surgery in the absence of incision leakage. There were no postoperative complications related to hypotony. Thirty-one eyes (9.8%) had an IOP of at least 30 mm Hg immediately after surgery; the IOP normalized by 1 day postoperatively. CONCLUSION: In normal eyes that had uneventful sutureless phacoemulsification with in-the-bag PC IOL implantation, immediate postoperative high or low IOP did not affect the return to baseline levels.
File Format	HTM / HTML
ISSN	08863350
Issue Number	1
Volume Number	38
e-ISSN	18734502
Journal	Journal of Cataract & Refractive Surgery
Language	English
Publisher	Elsevier
Publisher Date	2012-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Ophthalmology Hemostasis Physiology Intraocular Pressure Lens Implantation, Intraocular Phacoemulsification Aged Female Humans Male Middle Aged Postoperative Period Prospective Studies Suture Techniques Tonometry, Ocular Comparative Study Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Surgery

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