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Long-term intraocular pressure changes after combined phacoemulsification, intraocular lens implantation, and vitrectomy

  • Clinical Investigation
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

An Erratum to this article was published on 13 March 2013

Abstract

Purpose

To observe long-term changes in intraocular pressure (IOP) after a combined phacoemulsification, intraocular lens implantation, and vitrectomy procedure.

Methods

This was a retrospective case series at a single hospital. Of 105 consecutive cases that received combined phacoemulsification, intraocular lens implantation, and vitrectomy for macular hole or epiretinal membrane, 85 eyes (patients) were followed up for 1 year or longer. The IOP of both eyes in the subjects who had surgery in one eye was measured at baseline and at 1, 3, 6, 12, 24, 36, 48, and 60 months postoperatively. The IOP of the treated eye was compared with the fellow eye and with the baseline value at each follow-up visit.

Results

Intraocular pressure in the operated eyes at 3 months after surgery was significantly lower than that at baseline and than that in the respectively fellow eyes (P < 0.001, paired-t test with Bonferroni correction). The IOP subsequently returned to the baseline value or was the same as that of the fellow eye within 3 months of the observation time point. Only two treated eyes had elevated IOP exceeding 21 mmHg after 6 months postoperatively.

Conclusions

The change in the IOP after phacovitrectomy may be limited, and care when using this procedure because some eyes show increased IOP compared to the fellow eye after a long period.

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Acknowledgments

This study was supported in part by a Grant from the Research Committee on Chorio-retinal Degeneration and Optic Atrophy, Ministry of Health, Labor, and Welfare, and by a Grant-in-Aid for Scientific Research from the Ministry of Education, Science, and Culture of the Japanese Government.

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan

    Yuya Ki-I, Takehiro Yamashita, Akinori Uemura & Taiji Sakamoto

  2. Kagoshima City Hospital, Kagoshima, Japan

    Yuya Ki-I & Akinori Uemura

Authors
  1. Yuya Ki-I
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  2. Takehiro Yamashita
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  3. Akinori Uemura
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  4. Taiji Sakamoto
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Corresponding author

Correspondence to Taiji Sakamoto.

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Ki-I, Y., Yamashita, T., Uemura, A. et al. Long-term intraocular pressure changes after combined phacoemulsification, intraocular lens implantation, and vitrectomy. Jpn J Ophthalmol 57, 57–62 (2013). https://doi.org/10.1007/s10384-012-0207-7

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  • DOI: https://doi.org/10.1007/s10384-012-0207-7

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