Work

Day 1 postoperative intraocular pressure spike in vitreoretinal surgery (VDOP1)

Year: 2009

Type: article

Abstract: PURPOSE: To classify the clinical characteristics that might identify patients who may not require next-day follow-up following routine vitreoretinal intervention. METHODS: Prospective case series. RESULTS: The only statistically significant factors for raised intraocular pressure (IOP) were gas tamponade and preoperative raised IOP. 44.7% (17/38) of patients with preoperative IOP ≥ 20 mmHg had postoperative IOP ≥ 30 mmHg while 8.6% (17/197) of patients with preoperative IOP < 20 mmHg had postoperative IOP ≥ 30 mmHg (p = 0.0001). Phacoemulsification did not increase risk for a postoperative IOP spike. There was a 20-21% risk of postoperative IOP > 30 mmHg for patients with gas tamponade. All patients with no tamponade with IOP > 30 mmHg had preoperative IOP ≥ 20 mmHg. CONCLUSION: Uncomplicated vitreoretinal procedures with preoperative IOP of< 20 mmHg and no gas tamponade are unlikely to have uncontrolled IOP spike at day 1.

Source: Acta Ophthalmologica

DOI: 10.1111/j.1755-3768.2009.01703.x

Authors: Roger Wong, Bhaskar Gupta, Thomas H. Williamson, D. Alistair H. Laidlaw

Institutions: St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust

Language: English

Topic: Retinal and Macular Surgery

Subfield: Ophthalmology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W2040957239

FWCI: 0.318

Cites: 19

Cited by: 24

Related to: 10