Literature DB >> 19027566

Corneal biomechanical properties and intraocular pressure changes after phacoemulsification and intraocular lens implantation.

Raciha Beril Kucumen1, Nursal Melda Yenerel, Ebru Gorgun, Destan Nil Kulacoglu, Banu Oncel, Maryo Cenk Kohen, Murat Levent Alimgil.   

Abstract

PURPOSE: To evaluate corneal viscoelastic and intraocular pressure (IOP) changes measured by an ocular response analyzer (ORA) after phacoemulsification and intraocular lens (IOL) implantation.
SETTING: Yeditepe University Department of Ophthalmology, Istanbul, Turkey.
METHODS: Fifty-one eyes scheduled for cataract surgery were included in the study. Corneal hysteresis (CH), corneal resistance factor (CRF), corneal-compensated intraocular pressure (IOPcc), and Goldmann-correlated IOP (IOPg) were measured by ORA preoperatively and 1 week and 1 and 3 months postoperatively. Central corneal thickness (CCT) was measured using the ORA's integrated handheld ultrasonic pachymeter.
RESULTS: The mean preoperative CCT (537 microm+/-46 [SD]) did not change significantly by the end of 1 month postoperatively. The mean preoperative IOPcc (17.2+/-3.0 mm Hg) decreased significantly by 3 months postoperatively (15.2+/-3.7 mm Hg) (P= .018). The mean CH decreased from 10.36+/-1.48 mm Hg preoperatively to 9.64+/-1.26 mm Hg at 1 week (P= .028); it increased to preoperative values at the end of 1 month (10.20+/-1.70) and 3 months (10.74+/-1.54) (P>.05). The mean CRF decreased from 10.94+/-2.54 mm Hg preoperatively to 9.99+/-1.77 at 1 week (P= .026); it increased to preoperative values at 1 month (10.26+/-1.59) and 3 months (10.35+/-1.46) (P>.05).
CONCLUSIONS: Although CH and the CRF decreased in the early postoperative period, the parameters increased and reached preoperative values by 3 months postoperatively, showing that corneal biomechanical properties are influenced by phacoemulsification and IOL implantation.

Entities:  

Mesh:

Year:  2008        PMID: 19027566     DOI: 10.1016/j.jcrs.2008.08.017

Source DB:  PubMed          Journal:  J Cataract Refract Surg        ISSN: 0886-3350            Impact factor:   3.351


  14 in total

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