ISSN: 1300-0365 Dil: Türkçe
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Effect Of Phacoemulsification And Extracapsular Cataractextraction On The Late Postoperative Intraocular Pressure
Osman ÇEKİÇ*, Coşar BATMAN*, Solmaz ÖZALP*, Özlem ASLAN*
*Uz.Dr.,SSK Ankara Hastanesi 2. Göz Kliniği, ANKARA To determine the effect of cataract extraction on the late postoperative intraocular pressure, we evaluated prospectively changes in pressure during the 10 postoperative month in totally 67 eyes undergoing either phacoemulsification (n=32) or planned extracapsular cataract extraction (ECCE) (n=35) with intraocular lens implantation. Intraocular pressure was measured preoperatively the day before surgery and one week, one month, three months and 10 months after surgery. The mean intraocular pressure in the phacoemulsification group came from 14.7±2.7 mmHg to 11.9±3.2 mmHg (p>0.05) while from 14.9±4.2 mmHg to 13.6±3.3 mmHg in ECCE group in the late period (p>0.05). In the phacoemulsification group, patients (n=12) with the preoperative mean intraocular pressure between 15-21 mmHg had significant decrease in the late postoperative intraocular pressure at the end of follow-up period (p<0.05). In ECCE group, one patient (2.9%) developed secondary pseudophacic glaucoma due to cataract extraction after 2 months requiring laser treatment for intraocular pressure control. The present study shows that the late postoperative intraocular pressure decreased after cataract extraction especially with phacoemulsification, and the rate of decrease was dependent on the initial intraocular pressure.Keywords: Phacoemulsification,
Extracapsular lens extraction,
Intraocular pressureTurkiye Klinikleri J Ophthalmol 1998, 7:254-257
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