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F. J. Munoz, G. Rebolleda, J. L. Garcia-Perez; First Postoperative Day Intraocular Pressure as a Positive Prognostic Indicator in Phacoemulsification Combined With Deep Sclerectomy. Invest. Ophthalmol. Vis. Sci. 2007;48(13):814.
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© ARVO (1962-2015); The Authors (2016-present)
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
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.
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).
First postoperative day IOP ≤ 8 mmHg can be considered to be a significant prognostic indicator in combined phacoemulsification with deep sclerectomy.
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