Influence of Phacoemulsification On Pre-Operative and Post-Operative Intraocular Pressure

Phacoemulsification On Pre-Operative and Post-Operative Intraocular Pressure

Authors

  • Muhammad Ayub Department of Ophthalmology, Gomal Medical University, Dera Ismail Khan, Pakistan
  • Rashida Riaz Department of Ophthalmology, District Headquarter Hospital, Kasur, Pakistan
  • Muhammad Rashid Amanat Eye Care, Lahore, Pakistan
  • Tahir Shoukat Department of Ophthalmology, Mayo Hospital, Lahore, Pakistan
  • Muhammad Mujahid Department of Ophthalmology, Mayo Hospital, Lahore, Pakistan
  • Tallat Anwar Faridi University Institute of Public Health, The University of Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v3i06.312

Keywords:

Pupil Size, Instilling Nepafenac, Phacoemulsification, Cataract

Abstract

Various geographic regions have different ocular disease spectrums. It relies on the area's geographic position, economic situation, cultural diversity, and ethnic integrity. Visual impairment (VI) affects 624 million people worldwide, including 19 million children. Due to decreased productivity, blindness has a major financial impact on the individual, family, and society. Objectives: To compare the effect of phacoemulsification surgery and to determine the mean decrease in pupil size after instilling nepafenac 0.1% (preoperative IOP vs postoperative IOP). Methods: This study was conducted on 120 patients from period 2016-2017, who have given nepafenac 3 drops per day (steroid anti-inflammatory drops) one dayprior to surgery. The pupil size was measured with acaliper; immediately before (preoperative) and at the end of surgery (postoperative). The difference between pupillary diameters was noted and the decrease in pupil size was calculated. Results: The mean age was 52.53 ± 7.20 years in the given population. There were 42 (35%) males and females were 78 (65%).  The preoperative measurement of the pupil size was 7.13 ± 1.06 mm which was reduced to 6.27 ± 1.34 mm at end of surgery. The mean decrease in pupil size was 0.86 ± 0.46 mm. There was significant decrease in pupil size from baseline (preoperative) measurements than after the surgery (p <0.05). Conclusion: It is concluded that nepafenac 0.1% during phacoemulsification surgery can be beneficial in maintaining mydriasis in eyes of patients

References

West S. Epidemiology of cataract: accomplishments over 25 years and future directions. Ophthalmic Epidemiology. 2007 Jan; 14(4): 173-8. doi: 10.1080/09286580701423151

Quillen DA. Common causes of vision loss in elderly patients. American Family Physician. 1999 Jul; 60(1): 99-108.

Gogate PM. Small incision cataract surgery: Complications and mini-review. Indian Journal of Ophthalmology. 2009 Feb; 57(1): 45-9. doi: 10.4103/0301-4738.44512

Kara-Junior N, Sirtoli MG, Santhiago MR, Parede TR, de Espíndola RF, de Souza Carvalho R. Phacoemulsification versus extracapsular extraction: governmental costs. Clinics. 2010 Apr; 65(4): 357-61. doi: 10.1590/S1807-59322010000400002

Murgatroyd H and Bembridge J. Intraocular pressure. Continuing Education in Anaesthesia, Critical Care and Pain. 2008 Jun; 8(3): 100-3. doi: 10.1093/bjaceaccp/mkn015

Grieshaber MC, Schoetzau A, Zawinka C, Flammer J, Orgul S. Effect of central corneal thickness on dynamic contour tonometry and Goldmann applanation tonometry in primary open-angle glaucoma. Archives of Ophthalmology. 2007 Jun; 125(6): 740-4. doi: 10.1001/archopht.125.6.740

O’Brien PD, Ho SL, Fitzpatrick P, Power W. Risk factors for a postoperative intraocular pressure spike after phacoemulsification. Canadian Journal of Ophthalmology. 2007 Feb; 42(1): 51-5. doi: 10.3129/can.j.ophthalmol.06-086

Jamil AZ, Iqbal K, Ur Rahman F, Mirza KA. Effect of phacoemulsification on intraocular pressure. Journal of College Physicians and Surgeons Pakistan. 2011 Jun; 21(6): 347-50. doi: 07.2011/jcpsp.347350

Hassan M, Rehman A, Abbas M, Fawad U, Bhatti N, Daud A. Relationship between central corneal thickness and intraocular pressure in selected Pakistani population. Pakistan Journal of Ophthalmology 2010 July; 26(2): 79-82.

Resnikoff S, Pascolini D, Etya'Ale D, Kocur I, Pararajasegaram R, Pokharel GP, et al. Global data on visual impairment in the year 2002. Bulletin of The World Health Organization. 2004 Nov; 82(11): 844-51.

Session P. Vision2020: the right to sight–the first five years. In World Ophthalmology Congress, Sao Paulo, Brazil 2006 Feb (Vol. 21).

Blindness C. Vision 2020: the cataract challenge. Community Eye Health. 2000; 13(34): 17-9.

Memon MS. Prevalence and causes of blindness in Pakistan. Journal-Pakistan Medical Association. 1992 Aug; 42(8):196-8.

Dineen B, Bourne RR, Jadoon Z, Shah SP, Khan MA, Foster A, et al. Causes of blindness and visual impairment in Pakistan. The Pakistan national blindness and visual impairment survey. British Journal of Ophthalmology. 2007 Aug; 91(8): 1005-10. doi: 10.1136/bjo.2006.108035

Shah R. Anesthesia for cataract surgery: Recent trends. Oman Journal of Ophthalmology. 2010 Sep; 3(3): 107. doi: 10.4103%2F0974-620X.71881

Nagahara K. High vacuum phacoemulsification. Phacoemulsification: Principles and Techniques, 2d ed. Thorofare, NJ, Slack, Inc. 2003:157-8.

Kageyama T and Yaguchi S. In vitro evaluation of pressure fluctuations with differing height of the infusion bottle in phacoemulsification. Japanese Journal of Ophthalmology. 2000 Nov; 44(6): 690-1. doi: 10.1016/S0021-5155(00)00249-5

Dick HB, Schwenn O, Krummenauer F, Krist R, Pfeiffer N. Inflammation after sclerocorneal versus clear corneal tunnel phacoemulsification. Ophthalmology. 2000 Feb; 107(2): 241-7. doi: 10.1016/S0161-6420(99)00082-2

Jacobi PC, Dietlein TS, Lüke C, Engels B, Krieglstein GK. Primary phacoemulsification and intraocular lens implantation for acute angle-closure glaucoma. Ophthalmology. 2002 Sep; 109(9): 1597-603. doi: 10.1016/S0161-6420(02)01123-5

Shingleton BJ, Pasternack JJ, Hung JW, O'Donoghue MW. Three and five year changes in intraocular pressures after clear corneal phacoemulsification in open angle glaucoma patients, glaucoma suspects, and normal patients. Journal of Glaucoma. 2006 Dec; 15(6): 494-8. doi: 10.1097/01.ijg.0000212294.31411.92

Downloads

Published

2022-11-30
CITATION
DOI: 10.54393/pjhs.v3i06.312
Published: 2022-11-30

How to Cite

Ayub, M. ., Riaz, R. ., Rashid, M. ., Shoukat, T., Mujahid, M. ., & Anwar Faridi, T. . (2022). Influence of Phacoemulsification On Pre-Operative and Post-Operative Intraocular Pressure: Phacoemulsification On Pre-Operative and Post-Operative Intraocular Pressure. Pakistan Journal of Health Sciences, 3(06), 230–233. https://doi.org/10.54393/pjhs.v3i06.312

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)