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Postoperative course of intraocular pressure after cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing.
J Cataract Refract Surg. 2007 Sep; 33(9):1585-90.JC

Abstract

PURPOSE

To evaluate the natural course of intraocular pressure (IOP) after cataract surgery with combined primary posterior continuous curvilinear capsulorhexis (PPCCC) and posterior optic buttonholing (POBH) of the intraocular lens (IOL) in adult patients.

SETTING

Department of Ophthalmology, Medical University of Vienna, Vienna, Austria.

METHODS

Fifty consecutive patients with age-related cataract awaiting cataract surgery under topical anesthesia in both eyes were enrolled prospectively. In randomized order, cataract surgery with combined PPCCC and POBH was performed in 1 eye. In the fellow eye, cataract surgery was performed conventionally with in-the-bag IOL implantation and the posterior lens capsule kept intact. Standardized IOP measurements by Goldmann applanation tonometry were performed 1, 2, 4, 6, 8, and 24 hours postoperatively. Follow-up IOP measurements were taken at 1 week and 1 month. Twenty-five patients received 1-time IOP-lowering medication immediately after cataract surgery; the other 25 did not receive IOP-lowering drops.

RESULTS

During the first 24 hours postoperatively, no significant differences in IOP were observed between the PPCCC-POBH group and the conventional surgery group (P>.05). No IOP peaks greater than 27 mm Hg were observed in any eye. One week and 1 month postoperatively, no significant differences in IOP were found between groups (P>.05). The use of IOP-lowering drops significantly reduced postoperative IOP. However, no IOP spikes >27 mm Hg were found with and without the use of IOP-lowering drops.

CONCLUSION

The course of IOP after cataract surgery with combined PPCCC and POBH showed the technique to be as safe as conventional cataract surgery with in-the-bag IOL implantation.

Authors+Show Affiliations

Department of Ophthalmology, Medical University of Vienna, Vienna, Austria.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

17720074

Citation

Stifter, Eva, et al. "Postoperative Course of Intraocular Pressure After Cataract Surgery With Combined Primary Posterior Capsulorhexis and Posterior Optic Buttonholing." Journal of Cataract and Refractive Surgery, vol. 33, no. 9, 2007, pp. 1585-90.
Stifter E, Luksch A, Menapace R. Postoperative course of intraocular pressure after cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing. J Cataract Refract Surg. 2007;33(9):1585-90.
Stifter, E., Luksch, A., & Menapace, R. (2007). Postoperative course of intraocular pressure after cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing. Journal of Cataract and Refractive Surgery, 33(9), 1585-90.
Stifter E, Luksch A, Menapace R. Postoperative Course of Intraocular Pressure After Cataract Surgery With Combined Primary Posterior Capsulorhexis and Posterior Optic Buttonholing. J Cataract Refract Surg. 2007;33(9):1585-90. PubMed PMID: 17720074.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postoperative course of intraocular pressure after cataract surgery with combined primary posterior capsulorhexis and posterior optic buttonholing. AU - Stifter,Eva, AU - Luksch,Alexandra, AU - Menapace,Rupert, PY - 2007/02/09/received PY - 2007/04/23/accepted PY - 2007/8/28/pubmed PY - 2007/10/17/medline PY - 2007/8/28/entrez SP - 1585 EP - 90 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 33 IS - 9 N2 - PURPOSE: To evaluate the natural course of intraocular pressure (IOP) after cataract surgery with combined primary posterior continuous curvilinear capsulorhexis (PPCCC) and posterior optic buttonholing (POBH) of the intraocular lens (IOL) in adult patients. SETTING: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. METHODS: Fifty consecutive patients with age-related cataract awaiting cataract surgery under topical anesthesia in both eyes were enrolled prospectively. In randomized order, cataract surgery with combined PPCCC and POBH was performed in 1 eye. In the fellow eye, cataract surgery was performed conventionally with in-the-bag IOL implantation and the posterior lens capsule kept intact. Standardized IOP measurements by Goldmann applanation tonometry were performed 1, 2, 4, 6, 8, and 24 hours postoperatively. Follow-up IOP measurements were taken at 1 week and 1 month. Twenty-five patients received 1-time IOP-lowering medication immediately after cataract surgery; the other 25 did not receive IOP-lowering drops. RESULTS: During the first 24 hours postoperatively, no significant differences in IOP were observed between the PPCCC-POBH group and the conventional surgery group (P>.05). No IOP peaks greater than 27 mm Hg were observed in any eye. One week and 1 month postoperatively, no significant differences in IOP were found between groups (P>.05). The use of IOP-lowering drops significantly reduced postoperative IOP. However, no IOP spikes >27 mm Hg were found with and without the use of IOP-lowering drops. CONCLUSION: The course of IOP after cataract surgery with combined PPCCC and POBH showed the technique to be as safe as conventional cataract surgery with in-the-bag IOL implantation. SN - 0886-3350 UR - https://www.unboundmedicine.com/medline/citation/17720074/Postoperative_course_of_intraocular_pressure_after_cataract_surgery_with_combined_primary_posterior_capsulorhexis_and_posterior_optic_buttonholing_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(07)00901-7 DB - PRIME DP - Unbound Medicine ER -