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¹S.B Ankara Eğitim ve Araştırma Hastanesi 1.Göz Kliniği, Ankara, Asist. Dr.
²S.B Ankara Eğitim ve Araştırma Hastanesi 1.Göz Kliniği, Ankara, Uzm. Dr.
³Mesa Hastanesi Göz Kliniği, Ankara, Uzm. Dr.
⁴S.B Ankara Eğitim ve Araştırma Hastanesi 1.Göz Kliniği, Ankara, Klinik Şefi, Uzm. Dr. Purpose: To evaluate the incidence of intraocular pressure (IOP) elevation in the early period after phacoemulsification (PE) and intraocular lens implantation (IOL) in nonglaucoma patients with and without pseudoexfoliation syndrome (PES), and to determine the effectiveness of different types of management.
Materials And Methods: In this prospective study, 120 nonglaucoma patients who underwent PE+IOL implantation in Ankara Education and Research Hospital from April 2004 to May 2004 were included. Patients with PES (Group 1) and patients without PES (Group 2) were examined on the day of surgery (3^rd-7^th hour), on the 1^st and 7^th postoperative days. The main outcome measures were the incidence and management of complications, including IOP elevation, wound leaks, uveitis and endophthalmitis.
Results: There was a significant elevation in IOP from the baseline values, in postoperative 3^rd-7^th hours, in all patients (p<0.01). This elevation was greater in Group 1 (p<0.05). IOP was more than 28 mmHg in four patients (3.3%) on the 1^st postoperative day. On the 7^th post-operative day, 50% of these patients had an IOP≤21 mmHg, after topical anti-glaucomatous medication and anterior chamber paracentesis. The elevation in IOP on the 1^st day and 7^th postoperative day did not differ between Group 1 and 2. None of the patients had uveitis, endophthalmitis or wound leak.
Conclusion: All of the patients had a rise in IOP in the 3^rd-7^th postoperative hours. It is emphasized thatV patients with PES are more prone to early rises in IOP after PE, and they should be carefully monitored after surgery. Keywords : Phacoemulsification, intraocular lens, intraocular pressure, pseudoexfoliation, antiglaucomatous treatment