Causes of elevated intraocular pressure following implantation of phakic intraocular lenses for myopia

被引:57
作者
Almalki, Salem [1 ]
Abubaker, Abdullah [2 ]
Alsabaani, Nasser A. [3 ]
Edward, Deepak P. [1 ,4 ]
机构
[1] King Khalid Eye Specialist Hosp, Al Aroubah Rd,POB 7191, Riyadh, Saudi Arabia
[2] King Khaled Hosp, Najran, Saudi Arabia
[3] King Khaled Univ, Abha, Saudi Arabia
[4] Johns Hopkins Univ, Wilmer Eye Inst, Baltimore, MD 21218 USA
关键词
Intraocular pressure (IOP); Visual acuity (VA); Implantable collamer lens (ICL); ACUTE ANGLE-CLOSURE; ADMINISTRATION CLINICAL-TRIAL; COLLAMER LENS; CONTACT-LENS; SURGICAL-MANAGEMENT; CATARACT FORMATION; EYES; GLAUCOMA; MODERATE; SECONDARY;
D O I
10.1007/s10792-015-0112-4
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
The purpose of this study is to present the causes and visual acuity outcomes in patients with elevated intraocular pressure (IOP) following implantable collamer lens (ICL) implantation. A chart review identified patients who developed high IOP at any postoperative examination and a minimum follow-up period of 3 months after ICL implantation. Data are reported out to 6 months postoperatively. Outcome measures included causes of elevated IOP, best-corrected visual acuity (BCVA) at last visit, number of glaucoma medications, other interventions, and glaucomatous damage. Elevated IOP occurred in 58 (10.8 %) of 534 eyes that received ICL. The mean age was 28 +/- A 7.2 years. The preoperative IOP was 16.3 +/- A 1.2 mmHg. Elevated IOP most commonly occurred on the first postoperative day (23/58 (39.7 %) eyes) due to retained viscoelastic. This was followed by steroid response in 22/58 (37.9 %) eyes at 2-4 weeks postoperatively. IOP elevation in 6 (10.3 %) eyes was related to high ICL vault and pupillary block, and in 4 (6.9 %) eyes due to synechial angle closure. At last visit, BCVA was 20/40 or better in 56/58 (96.6 %) eyes, and 5/58 (8.6 %) eyes remained on glaucoma medications due to persistent steroid response (2 eyes), synechial angle closure glaucoma (1 eye), and other causes (2 eyes). One eye showed glaucomatous damage. Two eyes with high vault and elevated IOP underwent ICL explantation. There is a moderate risk of transiently developing elevated IOP after ICL implantation. Thorough removal of viscoelastic and use of anti-glaucoma medications during steroid use will reduce the majority of cases with postoperative IOP elevation.
引用
收藏
页码:259 / 265
页数:7
相关论文
共 25 条
[1]   Three-year follow-up of subjective vault following myopic implantable collamer lens implantation [J].
Alfonso, Jose F. ;
Lisa, Carlos ;
Abdelhamid, A. ;
Fernandes, Paulo ;
Jorge, Jorge ;
Montes-Mico, Robert .
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2010, 248 (12) :1827-1835
[2]   Endophthalmitis rates after implantation of the intraocular Collamer lens: Survey of users between 1998 and 2006 [J].
Allan, Bruce D. ;
Argeles-Sabate, Isabel ;
Mamalis, Nick .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2009, 35 (04) :766-769
[3]  
Apel A, 2007, J CATARACT REFR SURG, V33, P1672, DOI 10.1016/j.jcrs.2007.05.043
[4]  
ARMALY MF, 1965, FED PROC, V24, P1274
[5]  
BECKER BERNARD, 1965, INVEST OPHTHALMOL, V4, P198
[6]   High incidence of cataract formation after implantation of a silicone posterior chamber lens in phakic, highly myopic eyes [J].
Brauweiler, PH ;
Wehler, T ;
Busin, M .
OPHTHALMOLOGY, 1999, 106 (09) :1651-1655
[7]   Acute angle closure after implantable contact lens insertion unresponsive to surgical peripheral iridectomy [J].
Chan, Kenneth C. Y. ;
Birchall, Wayne ;
Gray, Trevor B. ;
Wells, Anthony P. .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2008, 34 (04) :696-699
[8]   Toric Implantable Collamer Lens for High Myopic Astigmatic Asian Eyes [J].
Chang, John ;
Lau, Silvania .
OPHTHALMOLOGY, 2009, 116 (12) :2340-2347
[9]  
Chang JS, 2007, J REFRACT SURG, V23, P17
[10]   Iris and trabecular meshwork pigment changes after posterior chamber phakic intraocular lens implantation [J].
Chun, Yeoun Sook ;
Park, In Ki ;
Lee, Hyeon Il ;
Lee, Jong Ho ;
Kim, Jae Chan .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 2006, 32 (09) :1452-1458