Long-term intraocular pressure changes after femtosecond laser-assisted cataract surgery in healthy eyes and glaucomatous eyes
| Autor: | Leonard K. Seibold, Ashton J. Kalhorn, Qingxia Chen, Avni A. Shah, Jeanie Ling, Niraj R. Nathan, Jeffrey A. Kammer |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Intraocular pressure Time Factors genetic structures Adolescent medicine.medical_treatment Visual Acuity Glaucoma Cataract Extraction Cataract 03 medical and health sciences Young Adult 0302 clinical medicine Ophthalmology medicine Humans Postoperative Period Intraocular Pressure Aged Retrospective Studies Aged 80 and over business.industry Outcome measures Glaucoma suspect Cataract surgery Middle Aged Laser assisted medicine.disease eye diseases Sensory Systems Confidence interval Treatment Outcome 030221 ophthalmology & optometry Surgery Female sense organs Laser Therapy business 030217 neurology & neurosurgery Glaucoma Open-Angle Follow-Up Studies |
| Zdroj: | Journal of cataract and refractive surgery. 45(2) |
| ISSN: | 1873-4502 |
| Popis: | To examine the long-term effect of femtosecond laser-assisted cataract surgery on intraocular pressure (IOP) in healthy (control) and glaucomatous eyes.University of Colorado, Aurora, Colorado, and Vanderbilt University, Nashville, Tennessee, USA.Retrospective case series.The study comprised patients aged 18 to 89 years meeting the inclusion criteria. Combination procedures were excluded. The main outcome measure was the change in the mean IOP from baseline to postoperatively.Of the 504 eyes meeting the criteria, 278 were in the glaucoma/glaucoma suspect group and 226 in the control group. Both groups had an initial mean increase in IOP 1 day postoperatively (control: +2.0 mm Hg; 95% confidence interval [CI], 1.4-2.6; glaucoma/glaucoma suspect: +3.4 mm Hg; 95% CI, 2.5-4.2) (both P .001). The increase was significantly higher in the glaucoma/glaucoma suspect group. The IOP returned to baseline levels at 1 week. At 1 month, both groups had a significant decrease in IOP that persisted until year 1 in the control group and through 3 years in the glaucoma group. The number of IOP medications was unchanged in the glaucoma group during follow-up. The glaucoma/glaucoma suspect group achieved significantly greater IOP lowering than the control group after 6 months.Control eyes and eyes with glaucoma had an initial mean IOP rise 1 day after femtosecond laser-assisted cataract surgery. This was followed by a significant decrease starting at 1 month. The reduction was sustained through 3 years in the glaucoma group. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|