This article is more than 5 years old. Information may no longer be current.
Preop aphakic glaucoma may be linked to IOP increase after secondary IOL implantation
Click Here to Manage Email Alerts
Preoperative aphakic glaucoma may be a risk factor for an early, temporary increase in IOP in children after secondary IOL implantation, according to a study.
The retrospective chart review consisted of 133 eyes of 85 patients after secondary IOL implantation. The mean patient age was 14.3 years. All procedures were performed by a single surgeon. Twenty-two eyes had preoperative aphakic glaucoma, and 111 eyes did not have preoperative glaucoma.
At 1 day postop, nine eyes had an IOP elevation greater than 26 mm Hg. Six of the 22 eyes with glaucoma and three of the 111 eyes without glaucoma experienced an acute increase in IOP (P < .001). After the temporary elevation, all eyes returned to their preoperative IOP status. No further medication was necessary in any patients.
“The high incidence of postoperative day-1 IOP spikes in patients with aphakic glaucoma warrants meticulous [ophthalmic viscosurgical device] removal at the end of surgery,” the study authors said. “We recommend routine use of prophylactic topical and/or systemic glaucoma medication during the early postoperative period after secondary IOL implantation in aphakic glaucomatous eyes.”
Click Here to Manage Email Alerts