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S. Q. Longmuir; Office-Based Intraocular Pressure and Pachymetry Measurements in Aphakic Pediatric Patients. Invest. Ophthalmol. Vis. Sci. 2010;51(13):5283.
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Although the mechanism remains unclear, increased risk of glaucoma is associated with aphakic eyes. We determined how many patients had intraocular pressure (IOP) measurements and pachymetry measurements obtained in an office-based setting over a 1 year period.
Retrospective chart review of patients with the diagnosis of aphakia was performed and diagnosis, IOP and pachymetry measurements were analyzed.
66 of 118 pediatric patients with the mean age of 7 years had IOP and pachymetry measurements obtained in the office. The average IOP for aphakic eyes was 18 mmHg with average pachymetry of 615 microns.
Over half of the patients seen over a one year period, had intraocular pressures and pachymetry obtained in the office setting. Obtaining IOP and pachymetry in this manner could decrease the cost of healthcare by lessening the need for examination under anesthesia and when combined with optic nerve examination and cycloplegic refraction can be helpful in diagnosing and treating aphakic glaucoma.
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