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Changes in intraocular pressure after intraocular eye surgery——the influence of measuring technique

International Journal of Ophthalmology(English edition) 2019年第6期12卷 967-973页

作者： Hrvoje Kovacic Roger C.W.Wolfs Emine Kilic Wishal D.Ramdas Department of Ophthalmology Erasmus Medical Center

AIM: To investigate the changes in intraocular pressure(IOP) before and after intraocular surgery measured with Goldmann applanation tonometry(GAT) and pascal dynamic contour tonometry(PDCT), and assessed their ***: Patients who underwent trans pars plana vitrectomy(TPPV) with or without cataract extraction(CE) were included. The IOP was measured in both eyes with GAT and PDCT pre-and postoperatively, where the nonoperated eyes functioned as ***: Preoperatively, mean IOP measurements were 16.3±6.0 mm Hg for GAT and 12.0±2.8 mm Hg for PDCT for the operated eyes. Postoperatively, the mean IOP dropped to 14.3±5.6 mm Hg for GAT(P=0.011) and rose up to 12.7±2.6 mm Hg for PDCT(P=0.257). Bland-Altman analysis showed a poor agreement between GAT and PDCT with a mean difference of 2.9 mm Hg preoperatively and 95% limits of agreement ranging from -3.2 to 9.0 mm Hg. Postoperatively, the mean difference was 1.2 mm Hg with 95% limits of agreement ranging from-8.3 to 10.7 mm Hg. There were no significant differences between the TPPV and TPPV+CE group, except when measured with PDCT postoperatively(P=0.012).CONCLUSION: The IOP is reduced after surgery when measured with GAT and remained stable when measured with PDCT. However, the agreement between GAT and PDCT is poor. Although PDCT may be a more accurate predictor of the true IOP, it seems less suitable for daily use in the clinical practice.

关键词： glaucoma intraocular pressure intraocular surgery trans pars plana vitrectomy

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Impact of the interval after endoscopic dacryocystorhinostomy on the outcomes of intraocular surgery: a 4-year retrospective study

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Annals of Eye Science 2021年第3期6卷 7-12页

作者： Wen-Yu Wu Rong-Xin Chen Hui-Ying Yu Jun Mao Xin-Yue Yu Shu-Juan Cao Yan-Dong Wang Xuan-Wei Liang State Key Laboratory of Ophthalmology Zhongshan Ophthalmic CenterSun Yat-sen UniversityGuangzhouChina Ophthalmologic Center First People’s Hospital in KashgarKashgarChina

Background:Patients with dacryocystitis should be treated for their infection by endoscopic dacryocystorhinostomy(EN-DCR)before any intraocular ***,there is no unified standard for the specific time interval between the two *** study aimed to determine the appropriate interval for intraocular surgery in patients with previous EN-DCR for chronic ***:The medical files of all patients who underwent intraocular surgery after EN-DCR surgery in our hospital from 2016 to 2019 were *** EN-DCR data of patients undergoing intraocular surgery at different time intervals and the incidence of endophthalmitis after intraocular surgery were ***:A total of 116 patients(92 females and 24 males,mean age 64.06±7.78 years)underwent EN-DCR and intraocular surgery met the inclusion *** interval between EN-DCR and intraocular surgery varied from 5-475 *** number of patients undergoing cataract surgery after EN-DCR is the largest(75,64.7%).All patients(100%)who had previously undergone EN-DCR did not develop endophthalmitis infection after intraocular surgery at a follow-up of 12 ***:For patients with dacryocystitis who have undergone EN-DCR surgery,there is no time limit when choosing the timing of intraocular *** patients requiring intraocular surgery,operation can be arranged as soon as possible to solve their problems as long as the patients had patency on lacrimal passage irrigation and no secretions.

关键词： Dacryocystitis intraocular surgery endophthalmitis endoscopic dacryocystorhinostomy(EN-DCR) interval

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Rhegmatogenous Retinal Detachment in One-Eyed Patients: Therapeutic and Prognostic Challenges

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Open Journal of Ophthalmology 2023年第1期13卷 64-72页

作者： El Hadji Malick Sy Aïssatou Aw Aly Mbara Ka Jean Pierre Diagne Hawo Madina Diallo Audrey Samra Soda Mbaye Papa Amadou Ndiaye Ophtalmology Department of Abass NDAO Hospital Cheikh Anta Diop University Dakar Senegal

Background: Retinal detachment is a major ophthalmologic emergency. The rhegmatogenous form is the most common and its management is exclusively surgical as soon as possible. This urgency becomes major and absolute when it occurs in a particular monocular vision. Purpose: To analyze the clinical forms of rhegmatogenous retinal detachment (RRD), the results and the complications of their management in monophthalmic patients. Methodology: This was a retrospective and analytical study from June 2007 to December 2019. We included all patients who received a consultation for rhegmatogenous retinal detachment. All patients were seen by at least two posterior segment specialists and all were operated on by the same surgeon. Results: 57 files (57 eyes) were collected with an average age of 44.71 years and a sex ratio of 7.14. The average consultation time is 40.80 days. Patients complained of decreased visual acuity in 96.49% of cases. We had myopia in 49.12% of cases and 91.23% of patients were phakic. Retinal holes were found in 31.58% of our patients and giant tears in 17.54%. The mean retinal detachment extension was 2.52 quadrants and the macula was raised in 32 cases. The average time taken to take charge was 10 days. Detachment surgery was performed in 42 patients with 100% anatomical recovery. Conclusion: Retinal detachment in one-eyed patient is a major ophthalmic emergency. Its management must not suffer from any delay. Post-operative outcomes are relatively similar between the internal and external pathways. In one-eyed patient, silicone can be left alone in the absence of complications.

关键词： Rhegmatogenous Retinal Detachment One-Eyed Patient intraocular surgery Episcleral surgery Post-Operative Results Complications

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