Intraocular pressure following ECCE and IOL implantation in patients with glaucoma.

K. S. Kooner, D. D. Dulaney, T. J. Zimmerman

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Patients with glaucoma may suffer optic nerve head damage due to elevated intraocular pressure (IOP) after any intraocular procedure. We retrospectively reviewed the IOP data in 82 consecutive patients (103 eyes) with glaucoma after extracapsular cataract extraction (ECCE) and posterior chamber intraocular lens (PC-IOL) implantation. Nine eyes had previous trabeculectomy and three eyes required combined trabeculectomy with ECCE and PC-IOL. The average follow-up period is 1.5 years (range 0.5 to 6 years). The postoperative IOP rise of 8 mm Hg over baseline or above 23 mm Hg was observed in 45 eyes (49.5%). Two eyes needed argon laser trabeculoplasty and one required trabeculectomy to control postoperative IOP elevation. Most of the patients required the same or lesser number of medications for IOP control after surgery. Results suggest that ECCE with PC-IOL may be a relatively safe procedure in cataract patients with preexisting glaucoma.

Original languageEnglish (US)
Pages (from-to)570-575
Number of pages6
JournalOphthalmic surgery
Volume19
Issue number8
StatePublished - Aug 1988

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ASJC Scopus subject areas

  • Ophthalmology

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