Literature DB >> 28351927

Factors influencing intraocular pressure, corneal thickness and corneal biomechanics after congenital cataract surgery.

Amir Faramarzi1, Sepehr Feizi1, Ali Maghsoodlou1.   

Abstract

AIMS: This study aims to compare intraocular pressure (IOP), central corneal thickness (CCT) and corneal biomechanics among patients with aphakia, patients with primary and secondary pseudophakia and matched controls following congenital cataract surgery and to investigate the factors influencing these variables.
METHODS: This study included 36 aphakic eyes, 47 primary pseudophakic eyes and 30 secondary pseudophakic eyes. Thirty-four normal eyes of matched volunteers were recruited for comparisons. Postoperative IOP measured with a Goldmann applanation tonometer (IOPGAT), CCT, corneal hysteresis (CH), corneal resistance factor (CRF) and cornea-compensated IOP (IOPCC) were compared among the groups. Univariate analyses and multiple linear regression analyses were used to investigate the influences of independent factors on IOPGAT, CCT, CH, CRF and IOPCC, considering all the operated eyes as one group.
RESULTS: IOPGAT was 12.5±0.92, 14.7±1.9, 13.4±2.3 and 15.7±2.0 mm Hg in normal, aphakic, primary pseudophakic and secondary pseudophakic eyes, respectively (p<0.001). CCT was 559.5±42.7, 628.0±61.7, 566.8±35.3 and 585.2±41.1 µm, respectively (p<0.001). CH was 10.87±2.47, 10.42±2.20, 11.84±2.13 and 9.74±1.94 mm Hg, respectively (p=0.019). IOPCC was 15.91±3.74, 18.40±4.35, 14.58±4.36 and 19.05±4.54 mm Hg, respectively (p<0.001). There was no significant difference in CRF among the groups (p=0.06). Regression analyses revealed that the type of operation was significantly associated with IOPGAT (p=0.04), CCT (p<0.001) and CH (p=0.006).
CONCLUSIONS: IOPGAT, CCT, CH and IOPCC were significantly different in treated eyes compared with normal eyes after congenital cataract surgery. These variables were primarily affected by the type of surgery. Primary intraocular lens implantation preserved corneal structure and function of the anterior chamber angle. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Entities:  

Keywords:  and corneal biomechanics; central corneal thickness; congenital cataract surgery; intraocular pressure

Mesh:

Year:  2017        PMID: 28351927     DOI: 10.1136/bjophthalmol-2016-310077

Source DB:  PubMed          Journal:  Br J Ophthalmol        ISSN: 0007-1161            Impact factor:   4.638


  3 in total

1.  A comparison of Icare PRO and Perkins tonometers in anesthetized children.

Authors:  Massimiliano Serafino; Edoardo Villani; Andrea Lembo; Giovanni Rabbiolo; Claudia Specchia; Rupal H Trivedi; Paolo Nucci
Journal:  Int Ophthalmol       Date:  2019-07-16       Impact factor: 2.031

2.  Correlations between corneal biomechanics and specular microscopy in patient with cataract.

Authors:  Raluca Claudia Iancu; Inna Adriana Bujor; Cătălina Iliuță; Ștefania Tudor; Emil Ungureanu; Irena Gabriela Pașca; Sînziana Istrate
Journal:  Rom J Ophthalmol       Date:  2020 Apr-Jun

3.  Corneal Biomechanical Properties and Thickness in Primary Congenital Glaucoma and Normal Eyes: A Comparative Study.

Authors:  Athar Zareei; Mohammad Reza Razeghinejad; Ramin Salouti
Journal:  Med Hypothesis Discov Innov Ophthalmol       Date:  2018
  3 in total

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