| Early Postoperative IOP Change Following Extracapsular Cataract Extraction with Posterior Chamber Implaratation and the Effect of Prophylactic Acetazolamide on Postoperative IOP. |
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Sung Won Lee, Man Soo Kim, Jae Ho Kim |
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Deoartment of Ophthalmology, Catholic Medical College, Kangnam St. Mary's Hospital, Seoul, Korea. |
| Healon(R) 을 사용한 후방인공수정체 삽입술후 조기안압변동과 예방적으로 사용한 Acetazolamide 가 술후 안압에 미치는 영향 |
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김재호(Jae Ho Kim),김만수(Man Soo Kim),이성원(Sung Won Lee) |
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| Abstract |
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Twenty eight patients(30 eyes) undergoing extracapsular cataract extraction and posterior chamber lens insertion with Healon were studied for intraocular pressure. The patients were divided into experimental group(15 patients, 15 eyes) which received acetazolamide and control group (13 patients, 15 eyes) which received no acetazolamide. The remained Healon(R) in anterior chamber was removed with I and A system at the end of the procedure. Intraocular pressure was measured preoperatively and 3, 6, 12, 24, 48, 72 hours and 6 days after operation. The results were as follows: 1. The intraocular pressure at 3 hours of control group and treated group was 16.0 +/- 5.0mmHg(2.6% increase) and 17.0 +/- 5.1mmHg(4.3% increase) respectively. But it was not significant statistically. 2. The intraocular pressure at 6 hours of control group and treated group was 16.4 +/- 5.9mmHg(5.1% increase) and 14.1 +/- 3.9mmHg(13.5% decrease) respectively. The increased intraocular pressure was not significant statistically. 3. The intraocular pressure after 12 hours was significantly lowered than preoperative intraocular pressure in two groups(p<0.05). 4. The intraocular pressure was above 23mmHg in 3 cases(20%) of control group and in 1 case(6.7%) of treated group. Highest intraocular pressure was 28mmHg in each group. 5. The differences between two groups at each time was not significant statistically. The result showed that intraocular pressure was not significantly different between two grotips, and there was no significant intraocular pressure rise postoperatively in both groups. |
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