Abstract
Background: We investigated the incidence of and risk factors for intraocular pressure elevation within 6 days following pars plana vitrectomy with silicone oil injection for rhegmatogenous retinal detachment. Methods: We reviewed the records of 55 patients in whom pars plana vitrectomy with silicone oil injection was performed. The intraocular pressure was evaluated before surgery and 1 day, 3 days, and 6 days post-operatively. Results: Intraocular pressure elevation was found in 49% of eyes within 6 days after surgery. A long duration of rhegmatogenous retinal detachment was significantly associated with intraocular pressure elevation on day 1 after surgery. Presence of diabetes was significantly associated with intraocular pressure elevation at 3 days post-operation. Intraocular pressure elevation may occur 6 days following topical steroid use. Conclusions: Intraocular pressure should be monitored regularly in the early post-operative period after pars plana vitrectomy with silicone oil injection for rhegmatogenous retinal detachment, especially in patients with prolonged detachment and diabetic history.
Intraocular Pressure Changes And Sustained Intraocular Pressure Elevation After Pars Plana Vitrectomy
