J Korean Ophthalmol Soc.  1995 Feb;36(2):214-219.

Increased Intraocular Pressure After Extracapsular Cataract Extraction with Intraocular Lens Insertion

• Baek NH
• Lee SH
• Park JY

Abstract

Extracapsular cataract extraction(ECCE) with posterior chamber intraocular lens(PC-IOL) implantation is now favorable surgery to improye decreased visual acuity due to cataract. But this surgical method often causes secondary glaucoma, hyphema, uveitis, and macular edema, which result in poor visual outcome. We studied the causes of elevated intraocular pressure(IOP) retrospectively in 15 eyes of 14 patients among 1,657 cases undergone with the implantation of PC-IOL, in recent 5 years. As the preoperative causes, preexisting uveitis(5 eyes, 33%) and underlying glaucoma(3 eyes, 20%) were important factors. Postoperative causes were newly developed uveitis(1 eye, 6.7%), steroid responder(2 eyes, 13.3%) and idiopathy(4 eyes, 27%). From the above results, We should take more meticulous care in intraoperative and postopertive management in cases of preexisting uveitis and glaucoma.

Keyword

Cataract; Glaucoma; Intraocular lens; Intraocular pressure; Uveitis

MeSH Terms

Cataract Extraction*
Cataract*
Glaucoma
Humans
Hyphema
Intraocular Pressure*
Lenses, Intraocular*
Macular Edema
Retrospective Studies
Uveitis
Visual Acuity