Intraocular Pressure in Phacoemulsification

Czech version

Authors: S. Synek; M. Synková; Š. Skorkovská
Authors‘ workplace: Klinika nemocí očních a optometrie FN u sv. Anny a LF MU, Brno, přednosta doc. MUDr. S. Synek, CSc.
Published in: Čes. a slov. Oftal., , 2002, No. 1, p. 46-50
Category:

Overview

The authors investigated changes of the intraocular pressure after non-complicated phacoemulsificationwith implantationof anintraocular lens of different types(OMMA, silicone, Acrysof®) in 40 patients. From the results it is obvious that insome patients already 4 hours after surgery the intraocular pressure rises to anaverage of 31±17 mm Hg. The magnitude of the intraocular pressure was notinfluenced by the size of the surgical wound nor the type of intraocular lens. Invalues below 30 mm Hg the authors recommend merely follow up of the patientsas they assume that these values have a positive impact on closure of the tunnelincision. In the differential diagnosis it is important to consider the post-operativeinflammatory reaction, the absorption reaction of residual viscoelastic material,pupillary block while the lenticular capsule is intact and undiagnosed glaucoma.In valuesabove30mmHgthe authorsrecommendadministrationof beta-blockers,Diluran® and antiphlogistics.

Key words:
intraocular pressure, phacoemulsification

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