Intraocular pressure following ECCE, phacoemulsification, and PC-IOL implantation.

K. S. Kooner, J. C. Cooksey, P. Perry, T. J. Zimmerman

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

Abnormal intraocular pressure (IOP), either transient or permanent, may follow extracapsular cataract extraction (ECCE) with phacoemulsification (PE) and posterior chamber intraocular lens (PC-IOL) implantation. We retrospectively studied IOP measurements at different intervals post ECCE and PE in 242 eyes of 211 patients: 105 males, 106 females, 198 Caucasians and 13 blacks. Elevated IOP (greater than 23 mm Hg) was observed in 20 eyes (8.2%). Only two patients (0.8%) had persistent (greater than 3 months) IOP elevation and needed antiglaucoma therapy. Six more eyes (2.5%), however, developed glaucoma after 1 year. Hence, the incidence of secondary pseudophakic glaucoma at the conclusion of this study was 3.3%. No patient required laser or other mechanical surgery for IOP control. ECCE and PE with PC-IOL does not appear to adversely affect IOP. Patients, however, must be followed closely, as some may develop glaucoma months after surgery.

Original languageEnglish (US)
Pages (from-to)643-646
Number of pages4
JournalOphthalmic surgery
Volume19
Issue number9
StatePublished - Sep 1988

ASJC Scopus subject areas

  • Ophthalmology

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