First Postoperative Day Intraocular Pressure as a Positive Prognostic Indicator in Phacoemulsification Combined With Deep Sclerectomy

Abstract

Purpose:: To study the value of intraocular pressure (IOP) in the first postoperative day after phacoemulsification combined with deep sclerectomy (Phaco-DS) and SK-gel implnat as a prognostic indicator

Methods:: We include 60 eyes of 60 patients undergoing phaco-DS. Visual acuity, IOP, and slit lamp examinations were performed before and after surgery at 1 and 7 days, and 1, 3, 6, 12, and 24 months. The first postoperative day IOP was examined in relation to the success rate and need for medication and subsequent Nd:YAG goniopuncture.

Results:: The mean preoperative IOP was 22.7 (SD: 5.3) mmHg, the mean postoperative IOP was 8.8 mm Hg at day 1, and 14.7 mmHg and 15.4 mmHg at 12 and 24 months respectively. Patients having a first postoperative day IOP ≤ 8 mmHg had a significant lower IOP at 24 months postoperative (r : 0.577, P = 0.005), and a reduced need of glaucoma treatment and goniopuncture (P = 0.004).

Conclusions:: First postoperative day IOP ≤ 8 mmHg can be considered to be a significant prognostic indicator in combined phacoemulsification with deep sclerectomy.

Keywords: intraocular pressure • clinical (human) or epidemiologic studies: treatment/prevention assessment/controlled clinical trials • cataract