scholarly journals Changes in Intra Ocular Pressure after Phacoemulsification with intraocular lens implantation.

2019 ◽  
Vol 26 (12) ◽  
pp. 2201-2205
Author(s):  
Rizwan Ahmed ◽  
Muhammad Shaheer ◽  
Arooj Amjad ◽  
Talha ◽  
Hina Mehmood ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
General Hospital ◽  
Corneal Opacity ◽  
Applanation Tonometry ◽  
Ethical Review ◽  
Intra Ocular Pressure ◽  
Lens Implantation ◽  
Quasi Experimental ◽  
Ocular Pressure

Objectives: To study the changes in intra ocular pressure (IOP) after phacoemulsification with intra ocular lens implantation. Study Design: Quasi experimental study. Setting: Lahore General Hospital, Lahore. Period: From 1-3-2017 to 30-9-2018. Material & Methods: The study was conducted after getting approval from ‘’Ethical Review Board’’ of Lahore General Hospital, Lahore. Patients presenting to the Eye OPD Lahore General Hospital were assessed for inclusion and exclusion criteria. All patients (n=) diagnosed with cataract significantly decreasing vision were selected. Patients having any coexisting ocular pathology i.e. corneal opacity, Glaucoma etc. were excluded from study. Pre operatively intraocular pressure was measured on slit lamp with the applanation tonometry. The patients were called for follow-up after at which time Visual acuity and intraocular pressure was again measured and findings recorded in the proforma. All the surgeries were performed by single surgeon. Results: Pre-operative mean intra ocular pressure was 22.02±1.403 mm Hg which reduced significantly to 20.39±1.363mm Hg, 19.61±1.418mm Hg, 18.94±1.738mm Hg after one day, one week and one month of surgery respectively. Conclusion: Phacoemulsification cataract surgery leads to a decrease in intraocular pressure.

scholarly journals Urrets-Zavalia Syndrome Following Cataract Surgery

2021 ◽  
pp. 659-663
Author(s):  
Shimon Kurtz ◽  
Maayan Fradkin
Keyword(s):  
Intraocular Pressure ◽  
Case Report ◽  
Cataract Surgery ◽  
Anterior Chamber ◽  
Inflammatory Reaction ◽  
Intraocular Lens Implantation ◽  
Postoperative Course ◽  
Lens Implantation ◽  
The Right

We describe a case of Urrets-Zavalia syndrome (UZS) in a healthy 56-year-old woman who underwent femtosecond-assisted phacoemulsification with intraocular lens implantation in both eyes. One month after an uneventful postoperative course in the left eye, the right eye was operated. Dilated pupil which was nonreactive to light appeared on day 21 postoperatively. This was discovered upon examination following anterior chamber inflammatory reaction which occurred 2 weeks following her surgery. Our case report emphasizes the importance and danger in developing UZS even if the reaction in the anterior chamber does not occur immediately after surgery. In addition, the importance of intraocular pressure follow-up in the period after UZS is acknowledged.

scholarly journals Effect of phacoemulsification with intraocular lens implantation in eyes with cataract and functioning filtering blebs

2013 ◽  
Vol 13 (2) ◽  
pp. 33-41
Author(s):  
Devendra Maheshwari ◽  
Rengappa Ramakrishanan ◽  
Mohideen Abdul Kader ◽  
Neelam Pawar ◽  
Ankit Gupta
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Intraocular Lens ◽  
Intraocular Lens Implantation ◽  
Corrected Visual Acuity ◽  
Lens Implantation ◽  
The Mean ◽  
One Year ◽  
Best Corrected Visual Acuity

Aim: To evaluate the effect of phacoemulsification with intraocular lens implantation in eyes with pre-existing trabeculectomy.Methods: This prospective single-center clinical study evaluated intraocular pressure in 60 eyes of 60 patients who underwent phacoemulsification and implantation of a foldable intraocular lens after a previous successful trabeculectomy. Patients who had a trabeculectomy more than one year prior to the study were included. Intraocular pressure, number of antiglaucoma medications, bleb appearance, and visual acuity were recorded preoperatively, and at each follow-up examination and 12 months after phacoemulsification.Results: The mean intraocular pressure before phacoemulsification was 12.42 mmHg (SD, 4.60 mmHg), which increased to 14.98 mmHg (SD, 4.18 mmHg), 14.47 mmHg (SD, 3.58 mmHg), 15.44 mmHg (SD, 3.60 mmHg), and 15.71 mmHg (SD, 3.47 mmHg) after one, three, six, and 12 months, respectively. At each follow-up visit, the mean IOP was significantly higher than the preoperative value (p < 0.001, p = 0.015, p ≤ 0.001, and p = 0.001 at month one, three, six, and 12, respectively). The mean preoperative best-corrected visual acuity was 0.98 logMAR (SD, 0.44 logMAR) and the mean postoperative best-corrected visual acuity at 12 months was 0.20 logMAR (SD, 0.21 logMAR) [p = 0.0001]. The mean preoperative number of antiglaucoma medications used was 0.57 (SD, 0.63), which increased to 0.65 (SD, 0.63 ), 0.70 (SD, 0.72 ) 0.68, (SD, 0.70), and 0.67 (SD, 0.77 ) at one, three, six, and 12 months, respectively, but there were no statistically significant differences. Bleb size decreased clinically after phacoemulsification. Nineteen of 60 eyes (32%) developed fibrosis of bleb with decreased bleb size.Conclusion: Phacoemulsification with intraocular lens implantation significantly increased intraocular pressure and increased the number of antiglaucoma medications in eyes with pre-existing functioning filtering blebs.

scholarly journals PETER’S ANOMALY

2013 ◽  
Vol 3 (1) ◽  
Author(s):  
Laya Rares
Keyword(s):  
Penetrating Keratoplasty ◽  
Corneal Opacity ◽  
Health Condition ◽  
Pressure Management ◽  
Filtration Surgery ◽  
Intra Ocular Pressure ◽  
Ocular Pressure ◽  
One Year ◽  
The Right ◽  
Peter’S Anomaly

Abstract: Peter’s anomaly is a congenital corneal anomaly characterized by central or paracentral opacity. Around 60-80% of this anomaly is bilateral. We reported a girl of one year and six months as having bilateral corneal opacity since she was born. Diagnosis was based on ophthalmological examinations: the vision of the right and left eyes was ‘fix and follow the light’; sensoric nystagmus of both eyes; intra-ocular pressure of the right eye 37 mm Hg and of the left eye 40 mm Hg; corneal diameters of both eyes were 11 mm; 5-mm-central opacity of both cornea; both eye movements to all directions were normal; anterior chambers were shallow; iris was attached to the corneal endothelium; both lenses were difficult to be evaluated due to corneal opacity; fundal reflexes in both eyes were negative. The early medication given was thymolol 0.5% to decrease the intra-ocular pressure. If her health condition improved, a penetrating keratoplasty and a filtration surgery were recommended under general anaesthesia. Key words: Peter’s anomaly, corneal opacity, intraocular pressure, management.   Abstrak: Peter’s anomaly merupakan kelainan kongenital kornea yang ditandai dengan kekeruhan pada kornea bagian sentral ataupun parasentral. Sekitar 60-80% kasus Peter’s anomaly terjadi bilateral. Kami melaporkan kasus Peter’s Anomaly pada seorang anak berusia satu tahun enam bulan dengan kekeruhan pada kedua mata sejak lahir. Diagnosis ditegakkan berdasarkan pemeriksaan oftalmologis dimana didapatkan visus okuli dekstra dan sinistra fix and follow the light, nistagmus sensoris pada kedua mata, tekanan intra okuler pada mata kanan 37 mm Hg dan pada mata kiri 40 mmHg. Diameter kornea kedua mata 11 mm, adanya  kekeruhan pada sentral kornea (stroma) dengan diameter 5 mm pada kedua mata. Pergerakan  kedua mata ke semua arah normal. Bilik mata anterior dangkal, iris melekat pada endotel kornea, lensa kedua mata sukar dievaluasi oleh karena kekeruhan pada kornea. Refleks fundus negatif pada kedua mata. Penanganan awal yang diberikan berupa medikamentosa (timolol 0,5%) untuk menurunkan tekanan intra okuler sambil menunggu keadaan umum membaik untuk dilakukan penetrating keratoplasty and filtration surgery dibawah anastesi umum. Kata Kunci: Peter’s anomaly, kekeruhan kornea, tekanan intra okuler, penanganan.

Early Post-Operative Effect of Phacoemulsification on Anterior Chamber Depth and Intraocular Pressure in Patients with Cataract

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Mashal Tayyab ◽  
Awaid Abid
Keyword(s):  
Intraocular Pressure ◽  
Anterior Chamber ◽  
Anterior Chamber Depth ◽  
Pressure Change ◽  
P Value ◽  
Iol Implantation ◽  
Intra Ocular Pressure ◽  
Significant Difference ◽  
Ocular Pressure ◽  
The Mean

Purpose:  To determine the Anterior Chamber depth and Intraocular pressure change following uncomplicated phacoemulsification. Study Design:  Quasi experimental study. Place and Duration of Study:  Layyton Rehmatullah Benevolent Trust Free Eye and Cancer Hospital, Lahore from 16/12/2017 to 15/06/2018. Methods:  One hundred and thirty nine patients who came to Layyton Rehmatullah Benevolent Trust Free Eye for phacoemulsification and IOL implantation were included in the study. Anterior Chamber depth was measured with IOL Master and intraocular pressure was determined using Goldmann Applanation Tonometer one day before and one month after surgery. Data was recorded on a self-designed proforma. Comparison between pre- and post-operative data with respect to change was analyzed by chi-square test. P-value ≤ 0.05 was considered significant. Results:  The mean intra-ocular pressure dropped from 14.36 ± 4.19 mmHg to 12.14 ± 4.26 mmHg 1 month after surgery with a mean drop of 2.21 ± 0.65 mmHg while the mean anterior chamber depth increased from 2.31 ± 0.08 mm to 3.59 ± 0.37 mm with a mean increase of 1.29 ± 0.36 mm. There was no statistically significant difference in the mean change of intra-ocular pressure and anterior chamber depth across various subgroups based on patient’s age, gender and duration of cataract. Conclusion:  Phacoemulsification and IOL implantation not only improves the visual acuity by removing the cataract but also deepens the anterior chamber and decreases intra-ocular pressure, which can have a beneficial effect in glaucoma patients. Key Words:  Phacoemulsification, Cataract, Intraocular pressure, Lens, Anterior chamber depth.

scholarly journals Subconjunctival Bevacizumab as an Adjunct to 5-Fluorouracil Enhanced Trabeculectomy: 1 Year Outcomes

2021 ◽  
Vol 37 (3) ◽  
Author(s):  
Sana Nadeem
Keyword(s):  
Intraocular Pressure ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Exclusion Criteria ◽  
Quasi Experimental ◽  
Added Benefit ◽  
Bleb Formation ◽  
The Mean

Purpose:  To compare the results of trabeculectomy with subconjunctival Bevacizumab and 5-Fluorouracil (5-FU); with trabeculectomy with 5-FU alone; in terms of intraocular pressure (IOP) lowering, bleb formation, and complications, in the long term. Study Design:  Quasi experimental study. Place and Duration of Study:  Fauji Foundation Hospital, Rawalpindi, from December 2013 to August, 2019. Methods:  A total of 30 eyes (15 in each group) with glaucoma were recruited. Exclusion criteria were previous trabeculectomy, congenital, traumatic, uveitic, neovascular glaucomas, aphakia, or ocular surface disease. Trabeculectomy with 5FU was performed in both groups. In one group, subconjunctival Bevacizumab was injected into the bleb at the end of surgery. The patients were observed for IOP control, bleb configuration, and complications for 1 year. Results:  Primary open angle glaucoma was the predominant diagnosis in 17 (56.7%) eyes. The mean pre-operative IOP in the 5-FU group was 30.8 ± 17.03 mmHg, & in the 5-FU+Bevacizumab group it was 28.9 ± 18.9 mmHg. The mean IOPs of the 5-FU group at 1 Year was 14.5 ± 5.04 mmHg. In 5-FU+Bevacizumab group, mean IOPs at 1 year was 12.7 ± 4.38 mmHg. The differences between pre-operative and post-operative IOPs in both groups at 6, 9 and 12 months were statistically significant. However, differences in mean IOPs between the two groups, bleb morphology and complications were not statistically significant. Conclusion:  No added benefit of subconjunctival Bevacizumab used as an adjunct to 5-FU enhanced trabeculectomy was found at the end of 1 year follow-up. Key Words:  Trabeculectomy, 5-Fluorouracil, Bevacizumab, Glaucoma, Intraocular pressure.

Effect of General Anesthesia on Intra-ocular Pressure during Ophthalmic Procedures in Our Population

2021 ◽  
Vol 15 (10) ◽  
pp. 2614-2615
Author(s):  
Tariq Pervaiz Khan ◽  
Fakhar Humayun ◽  
Qumber Abbas ◽  
Abaid Ur Rehman ◽  
Faiza Hameed ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
General Anesthesia ◽  
Posterior Segment ◽  
Ocular Motility ◽  
Inhalation Anesthetics ◽  
Intra Ocular Pressure ◽  
Anesthetic Agents ◽  
Department Of Ophthalmology ◽  
Ocular Pressure ◽  
The Mean

Aim: To determine changes in intraocular pressures (IOP) associated with drugs used for general anesthesia (GA) induction in eye surgery. Study design: Observational prospective study Place and duration of study: Department of Ophthalmology, CMH Rawalpindi from 1st March 2015 to 31st May 2016. Methodology: Eighty subjects that were advised to undergone various ophthalmic surgical procedures under GA were included in the study. Visual acuity, intraocular pressure (IOP), extra ocular motility, anterior and dilated posterior segment examination were carried out to determine the ophthalmic status. Mixed anesthetics were used in all patients. IOP was recorded at T1 (10 min before induction of anesthesia), T2 (10 min after intubation), and T3 (at the conclusion of surgery before extudation) using Perkins tonometers. Changes in IOP before induction of GA, after intubation, and just before extubation were recorded. Results: Mean pre-anesthesia IOP for patients of age was 42.3 years with a range of 9-70 years and mean IOP was 16.4 with a range of 10-23 mmHg. There was a significant decrease in the mean IOP at T2 (Perkins: 4-6 mmHg) and T3 (Perkins: 5-8mmHg) as compared to the IOP at T1 (10-18mmHg. The decreases in IOPs at T2 and T3 were similar in both anesthetic groups (T2: P=4-6mmHg; T3: P = 5-8 mmHg). Conclusion: Significant decrease in IOP after GA was observed with mixed anesthetic agents. For management decisions this aspect of general anaesthesia drugs on IOP as noted with currently used anesthetic agents has to be accounted for and decisions are taken accordingly. Keywords: General anesthesia, inhalation anesthetics, intraocular pressure, Perkins tonometers

Should Unilateral Congenital Corneal Opacities in Peters’ Anomaly be Grafted?

2011 ◽  
Vol 21 (6) ◽  
pp. 695-699 ◽  
Author(s):  
Chrysanthi Basdekidou ◽  
Pascal Dureau ◽  
Catherine Edelson ◽  
Patrice De Laage De Meux ◽  
Georges Caputo
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Axial Length ◽  
Corneal Opacity ◽  
Late Complications ◽  
Posterior Segment ◽  
Time Of Surgery ◽  
Peters Anomaly ◽  
Corneal Opacities

Purpose. To evaluate the surgical outcomes and visual results after penetrating keratoplasty for congenital unilateral corneal opacities in Peters anomaly. Methods. This was a retrospective study of 14 children who underwent keratoplasty for a unilateral Peters anomaly between 1999 and 2009. All patients received a topical treatment of cyclosporine and corticosteroids. Suture ablation was performed between the first and second postoperative month and all patients had spectacle correction and amblyopia treatment. Age at time of surgery, posterior segment status evaluated by ultrasonography, axial length, preoperative intraocular pressure, fellow eye status, mean follow-up time, early and late complications, final graft outcome, refraction, and visual acuity upon the last visit were noted. Results. Mean age at the time of surgery was 9 months. Posterior segment was normal in all cases. Mean axial length was 18 mm and mean intraocular pressure was 11 mmHg. Mean follow-up was 30 months. Four children had graft rejection episodes, 2 of which responded to medication. Four underwent cataract surgery, one developed pupil deformation requiring a pupilloplasty and 2 cases were complicated by surgical glaucoma. A total of 11 eyes (78.6%) had clear grafts at the end of the follow-up. Mean spherical equivalent was −1.5 D. Visual acuity was measurable in 3 cases and was 20/50 in one case, 20/63 in the second, and 20/2000 in the third. Concerning preverbal children, central, steady, and maintained fixation was found in 8 cases. Conclusions. Operating on a unilateral congenital corneal opacity is a challenging decision and should be taken after explaining the need for long-term follow-up to the parents. Useful vision can be achieved and maintained after strict amblyopia therapy. A multidisciplinary ophthalmologic follow-up is necessary.

scholarly journals Brimonidine for Prevention of Intraocular Pressure Elevation after YAG-Posterior Capsulotomy

2020 ◽  
Vol 36 (2) ◽  
Author(s):  
Muhammad Khizar Niazi ◽  
Ali Rauf ◽  
Yasser Nadeem
Keyword(s):  
Intraocular Pressure ◽  
Laser Therapy ◽  
Treated Group ◽  
Military Hospital ◽  
Posterior Capsulotomy ◽  
Intraocular Pressure Elevation ◽  
Quasi Experimental ◽  
History Of ◽  
Ocular Pressure ◽  
Lowering Drug

Purpose:  To see the efficacy of Brimonidine 0.2% in controlling intraocular pressure (IOP) elevations after YAG-posterior capsulotomy. Study Design:  Quasi Experimental study. Place and Duration of Study:  Combined Military Hospital, Lahore from February to December 2019. Material and Methods:  Eighty four pseudophakic eyes with Posterior capsular opacities were included in the study. Exclusion criteria were; complications during surgery and in postoperative period. Cases with any other ocular disease or history of ophthalmic surgeries prior to Nd: YAG laser posterior capsulotomy was also excluded from the study. Prior to YAG capsulotomy patients were either administered Brimonidine 0.2% or were not given any IOP lowering drug after noting a rise in Intra-ocular pressure. Eyes received either one drop of Brimonidine 0.2% per day starting one hour after the laser procedure or no treatment after laser therapy. Intraocular pressure was measured one hour and three days after laser therapy in both the groups. Result:  Mean IOP of 84 eyes was 14.43mm of Hg. One hour after the procedure, 52 patients had a rise in IOP. Mean IOP-hike was 8.76 mm of Hg. 26 patients were administered Brimonidine drops immediately while rest were left untreated and observed. On the third day of laser therapy, only one patient had an increased IOP in the treated group while 18 patients in the un-treated group had a higher than normal IOP. After 3rd day, all patients were treated for the raised IOP. Conclusion:  Once daily dose of Brimonidine 0.2% is effective in maintaining a lower IOP after YAG capsulotomy.

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