Is the 1-day postoperative IOP check needed post uncomplicated phacoemulsification in patients with glaucoma and ocular hypertension?

Gupta, Ankur; Vernon, S A

doi:10.1038/eye.2014.331

Cited by 5 publications

(5 citation statements)

References 40 publications

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“…Gupta et al who studied IOP spikes present in patients with glaucoma after an uncomplicated cataract study stated that an IOP spike greater than 30 mmHg could not be eliminated with prophylactic acetazolamide 250mg. They also recommended evaluating patients on POD1 to receive treatment for an IOP spike, should the patient experience it [ 15 ]. Given that our patients with glaucoma were more likely to receive IOP lowering interventions, our surgeons likely had a lower threshold for treating IOP spikes in patients with glaucoma.…”

Section: Discussionmentioning

confidence: 99%

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Post-operative Day Zero Versus Day One Follow-Up for Uncomplicated Cataract Surgery

Patel¹,

Freedman²,

Das³

et al. 2022

Cureus

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To compare the postoperative outcomes and management of uncomplicated cataract surgery seen on postoperative day 0 (POD0) versus postoperative day one (POD1). MethodsA retrospective cohort study of patients who followed up within 0-14 days of their uncomplicated surgery (current procedural terminology code 66984) from December 2018 to March 2020. Those who had perioperative complications, those who had combined glaucoma filtering surgery as well as other minimally invasive glaucoma surgery (MIGS) procedures, and those who did not complete their first two follow-up visits within 14 days of their surgery were excluded. Visual acuity (VA), intraocular pressure (IOP), postoperative interventions, and complications of the first and second postoperative visits were collected.

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Section: Discussionmentioning

confidence: 99%

“…These patients are scheduled in the surgeon's clinic on the same day as their surgery for transportation and convenience of time. Many clinician-scientists have debated the safety and efficacy of post-op day one (POD1) visits [1,[3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Few have compared POD0 visits with POD1 visits [6,10,12].…”

Section: Introductionmentioning

confidence: 99%

Post-operative Day Zero Versus Day One Follow-Up for Uncomplicated Cataract Surgery

Patel¹,

Freedman²,

Das³

et al. 2022

Cureus

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“…With increasing pressure on the health care system and increasing workloads of health care professionals, a reasonable balance of frequency of postoperative review needs to be achieved. 25 The number and timepoints of postoperative follow-ups should be devised so that the number of examinations are low and the chance of early intervention in case of serious complications is high.…”

Section: Discussionmentioning

confidence: 99%

Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?

Karimi¹,

Lindfield²

2018

OPTH

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PurposeTo assess whether a first day review is needed following Xen surgery in glaucoma patients.Patients and methodsWe performed a retrospective case note review of all Xen surgeries performed across four centers between August 2015 and May 2017. Intraocular pressure (IOP), number of medications, complications, and all further procedures were recorded.ResultsTwo hundred and fifty-nine cases from 226 patients were analyzed, 78 of 259 cases (30.1%) had numerical hypotony (<6 mmHg) on Day 1, but 60 had resolved by Week 1. Zero cases of hypotony required intervention at Day 1. Two of 259 cases (0.8%) had transient IOP of ≥20 mmHg due to air bubble/iris blockage on Day 1 with one case (0.4%) requiring iris manipulation at the slit-lamp. One case (0.4%) required IOP lowering medications at Day 1. All other complications and interventions in our series occurred at 1 week or beyond. Day 1 IOP was not shown to be a reliable indicator for outcomes at Week 1 (r2=0.2155), Month 1 (r2=0.0574), or Month 12 (r2=0.1580).ConclusionThe presence of significant complications requiring intervention at Day 1 was 0%. Only one case (0.4%) required topical IOP lowering medication and one case (0.4%) needed stent manipulation at Day 1. Day 1 IOP is not a reliable indicator of long-term outcomes in Xen surgeries. Removing Day 1 follow-up would have been safe in our series and it may be more effective to perform the first postoperative review of Xen surgery at Week 1.

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“…Таким образом, в настоящее время актуальным представляется поиск факторов риска послеоперационного повышения ВГД, а также разработка алгоритма профилактики данного осложнения [24,27].…”

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“…В 2005 году в ФГБНУ «НИИ глазных болезней» был разработан уникальный скрининговый метод определения индивидуальной нормы ВГД [30][31][32][33], который уже доказал свою эффективность при ранней диагностике глаукомы, а также при лечении и мониторинге заболевания, но в литературе нет исследований о прогностическом значении показателя индивидуальной нормы в хирургии катаракты [26,27,34].…”

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Changes in Intraocular Pressure after Cataract Surgery, Depending on the Indicator of the Individual Norm

Yusef¹,

Rafaelyan²

2021

Oftalʹmologiâ

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Literature data confirm the existence of different opinions about the nature of changes in intraocular pressure after cataract extraction. However, assessment of the risk factors significance for complications and prediction their occurrence in the postoperative period are still unresolved issues. Average statistical norm can still entail a persistent increase in IOP after cataract surgery.Purpose: to study the frequency of persistent increase in IOP after cataract surgery with a statistically normal level of IOP depending on the ratio of the preoperative level of IOP with its individual norm.Methods: The clinical study was based on the analysis of 69 phacoemulsifications and posterior chamber intraocular lens implantations with a preoperative IOP level within the average statistical norm (IOP <22 mm Hg). The determination of individual norm of IOP was carried out using flowmetry according to the original method developed at the Research Institution of Eye Diseases. All patients were divided into 3 group. Group 1 — 25 patients with IOP less than individual norm of IOP. Group 2 — 18 patients (21 eyes) with medically compensated IOP (less than individual norm of IOP ). Group 3 — 20 patients (22 eyes) with IOP more than individual norm of IOP.Results. GROUP 1. The initial IOP value before surgery in group 1 averaged 15.7 ± 3.6, after a year a decrease in IOP was recorded in 15 eyes (57.7 %). In 11 eyes (42.3 %) IOP remained unchanged. However, IOP changes in this group were statistically insignificant (p > 0.5). GROUP 2. After a year decrease in IOP was recorded in 11 eyes (52.4 %). In 10 eyes (47.6 %) IOP remained unchanged. GROUP 3 The initial IOP level before surgery was on average 17.9 ± 1.4. One year later, a decrease in IOP was recorded in 6 eyes (40.9 %). In 8 eyes (22.7 %) IOP remained unchanged.Conclusions. When planning cataract surgery the indicator of real compensation is the level of ophthalmotonus, which does not exceed the individual norm. IOP exceeding the individual norm indicates a high probability of a persistent increase in IOP after cataract surgery.

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Is the 1-day postoperative IOP check needed post uncomplicated phacoemulsification in patients with glaucoma and ocular hypertension?

Cited by 5 publications

References 40 publications

Post-operative Day Zero Versus Day One Follow-Up for Uncomplicated Cataract Surgery

Post-operative Day Zero Versus Day One Follow-Up for Uncomplicated Cataract Surgery

Is a Day 1 postoperative review following ab interno Xen gel stent surgery for glaucoma needed?

Changes in Intraocular Pressure after Cataract Surgery, Depending on the Indicator of the Individual Norm

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