Incidence and risk factors for intraocular pressure rise after transconjunctival vitrectomy.

Autor: Pillai GS; Department of Ophthalmology and Chief of Vitreo Retinal Services, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Cochin, Kerala, India., Varkey R; Department of Ophthalmology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Tiruvalla, Kerala, India., Unnikrishnan UG; Department of Biostatistics, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Thrissur, Kerala, India., Radhakrishnan N; Department of Retina, Amrita University, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India.
Jazyk: angličtina
Zdroj: Indian journal of ophthalmology [Indian J Ophthalmol] 2020 May; Vol. 68 (5), pp. 812-817.
DOI: 10.4103/ijo.IJO_244_19
Abstrakt: Purpose: To study the incidence and risk factors of raised intraocular pressures (IOPs) in the follow-up of transconjunctival sutureless vitrectomy (TSV).
Methods: A retrospective observational study was performed on 635 patients who underwent TSV under a single surgeon. The IOPs were recorded using a calibrated non-contact tonometer at seven postoperative visits, viz., day 1, 7 and 1, 3, 6 months, and 1 day and 1 month following silicone oil removal.
Results: IOP rise was seen in 24.25% (154) out of the 635 eyes studied. Among patients under 50 years of age, 37.73% had an IOP rise, compared to 21.55% above 50 years (Odds Ratio 2.206). Among males, 30.32% had an IOP rise, as compared to 15.98% females (OR 2.287). In eyes with retinal detachment, 49.16% had raised IOP (OR 5.435), and 24.05% with proliferative diabetic retinopathy (OR 1.780), as opposed to 15.38% with macular hole and 12.32% with epiretinal membrane. This was statistically significant (P < 0.001). In eyes with silicone oil, 34.9% developed a rise in IOP (OR 2.738) as compared to 11.94% of other surgeries (OR 0.697). This was statistically significant (P < 0.001).
Conclusion: We observed an increase in IOP postoperatively, more in those under 50 years, males and patients undergoing surgery for RD and PDR.
Competing Interests: None
Databáze: MEDLINE
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