Impact on Visual Outcome and Complications in Postoperative Raised Intaocular Pressure (IOP) Patients of Cataract Surgery at a Tertiary Care Hospital
Journal Title: MVP Journal of Medical Sciences - Year 2019, Vol 6, Issue 1
Abstract
Background and Objectives: Intraocular pressure increase frequently occurs in the early period after cataract Extraction. Some operated patients of cataract surgery, however, may experience pain, corneal oedema, glaucomatous nerve damage, or anterior ischemic optic neuropathy. Causes of this elevation in IOP include retained lens material, postoperative inflammation, and retention of viscoelastic substances within the anterior chamber. Postoperative increases in IOP are transient and benign. It is therefore important to monitor continuously the effect of new cataract surgical techniques on postoperative IOP as well as the impact of increased IOP on visual outcomes. Materials and Methods: Out of total patients who underwent cataract surgery at our institute 1311 had increase in intra-ocular pressure during November 2015 to October 2017. Out of those total number of 150 patients were selected at random after taking inclusion and exclusion criteria into consideration. Cases of increased intraocular pressure post cataract surgery were included in study were examined in full on observations documented on post-operative Day 1 then till discharge, after 7 days, 1 month and 3 months. Results: Thus, incidence of increase in intraocular pressure after cataract surgery in our institute is 24.15%. In the present study acute postoperative inflammation was the most common cause (39%) of increase in intraocular pressure. Other common causes were vitreous obstruction following posterior capsular rupture (27%), retained visco-elastic substances (22%). Least common cause (2%) in our study was retained lenticular fragments. Conclusion: Maximum patients (53%) with raised intra-ocular pressure post-cataract surgery had pressures in the range of 21 to 30 mm Hg. Majority (64%) had postoperative day 1 best corrected visual acuity between FC 1 m to 20/200. No patient had BCVA 20/20 to 20/40. Patients with increased IOP more than 40 mm Hg were associated poor visual outcome compared to patients with less IOP rise. In maximum patients (86%), intra-ocular pressure became normal (<21mm hg) within 7 days.
Authors and Affiliations
Saudamini Jaywantrao Jadhav, Dhiraj Namdeo Balwir
Keywords
Related Articles
- EP ID EP588319
- DOI 10.18311/mvpjms/2019/v6i1/18274
- Views 110
- Downloads 0
Study of Psychiatric Morbidity among Patients with End-Stage Renal Disease Receiving Haemodialysis in a Tertiary Health Care Institute
Background: There has been an increase in the global burden of chronic kidney disease. India especially has to face the brunt of this problem due to factors such as increased life expectancy and a recent epidemic of type...
Study of Platelet Count and Platelet Indices in Neonatal Sepsis in Tertiary Care Institute
Aims and Objectives: To correlate degree of thrombocytopenia and platelet indices with neonatal sepsis in our NICU set up. Materials and Methods: After taking approval from ethical committee of our institute, we studied...
A Study of Incidence and Risk Factors in Post Operative Abdominal Wound Infection in Tertiary Care Centre
Introduction: Surgical site infections are associated with substantial morbidity and mortality, increase in hospital stay and enhanced cost of health care. Objective of present study is to analyse the incidence of surgic...
Study of Homologous Autoimplantation Therapy for Treatment of Multiple Warts in Patients Attending the Dermatology Out Patient Department
Introduction: Warts are benign tumours that commonly involve skin and other epithelial tissues. There is no single treatment modality that is 100% effective. In multiple warts, especially on face, palms, and soles destru...
Metformin Use and Vitamin B<SUB>12</SUB> Deficiency in Patients with Type-2 Diabetes Mellitus
Metformin is commonly used oral hypoglycaemic agent in the treatment of type-2 Diabetes Mellitus (DM). One of the important side effect of long term metformin therapy is malabsorption of vitamin B12 which could lead to m...