Posters

Intraocular pressure spikes following cataract surgery

Poster Details

First Author: P.Kanclerz POLAND

Co Author(s):    A. Grzybowski                    

Abstract Details

Purpose:

The purpose of this study was to evaluate the risk factors for postoperative intraocular pressure (IOP) spikes following phacoemulsification cataract surgery.

Setting:

Institute for Research in Ophthalmology, Poznan, Poland Department of Ophthalmology, Medical University of Gdańsk, Poland

Methods:

PubMed and Medline were the main resources for medical literature search. The following keywords were used in various combinations: intraocular pressure, IOP, spike, increase, cataract surgery, phacoemulsification.

Results:

We collected and analyzed 35 articles dated from 1995 to 2017. It is estimated that up to 9.8% of patients might manifest an increase in IOP by 10 mmHg. Risk factors for IOP spikes following phacoemulsification cataract surgery include residual viscoelastic material, resident performed surgery, glaucoma, pseudoexfoliation syndrome, axial length over 25mm, tamsulosin intake and topical steroid application in steroid responders. Several topical IOP lowering agents have been evaluated, but none has completely prevented the occurrence of postoperative IOP spikes. We would recommend topical application of dorzolamide/timolol and brinzolamide in high-risk patients, particularly with preexisting optic nerve damage.

Conclusions:

A day-1 postoperative follow up might be questioned, even in glaucoma patients, as the topmost IOP elevation occurs 3-4 hours postoperatively. Additional studies are required to assess the optimal treatment, particularly in glaucoma patients.

Financial Disclosure:

None