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Changes in intraocular pressure after vitrectomy and gas tamponade for retinal detachment Satoko Ueyama 1 , Hiroshi Kobayashi 1 , Yoshihiko Satake 1 , Jo Nakabayashi 1 , Kaori Kobayashi 1 , Satoshi Okinami 1 1Dept of Ophthalmol,Saga Med Sch pp.1041-1044
Published Date 2003/6/15
DOI https://doi.org/10.11477/mf.1410101294
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Abstract. We examined the changes in intraocular pressure(IOP)in 50 eyes of rhegmatogenous retinal detachment treated by vitrectomy and gas tamponade. The series comprised 33 males and 17 females. The ages ranged from 35 to 84 years,average 56 years. Vitrectomy was performed after phacoemulsification-aspiration. Following drainage of subretinal fluid and closure of retinal break,the vitreous was filled by 20%sulfur fluoride. The IOP was set at 15mmHg at the end of surgery. The retina became reattached in all the eyes on the next day of surgery. A Goldmann applanation tonometer was used in measuring the IOP after surgery. Before surgery,the IOP averaged 11.1±2.5 mmHg. It rose significantly to 20.0±6.9 mmHg on the next day of surgery(p<0.0001). It gradually decreased until 4 weeks after surgery. By multivariant analysis,the early postoperative IOP was significantly elevated in eyes with greater extent of retinal detachment,longer axial length,and lower preoperative IOP(p<0.05 each).


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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