Risk factors for intraocular pressure elevation during the early period post cataract surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-04-17

AUTHORS

Hiroaki Oku, Kazuhiko Mori, Mako Watanabe, Takanori Aoki, Koichi Wakimasu, Kiyoshi Yamamura, Toshihide Yamasaki, Kengo Yoshii, Chie Sotozono, Shigeru Kinoshita

ABSTRACT

PurposeTo assess the risk factors for intraocular pressure (IOP) elevation during the early period post cataract surgery.Study designRetrospective study.MethodsThis study involved 1587 eyes that underwent cataract surgery at the Baptist Eye Institute, Kyoto, Japan between April 2020 and May 2021. In all subjects, risk factors for early postoperative IOP elevation (i.e., an increase of IOP of 10 mmHg or more at 1-day postoperative compared with that at baseline, or a postoperative IOP of 28 mmHg or more) were analyzed by multivariate logistic regression analysis.ResultsOf the 1587 treated eyes in this study, 100 (6.3%) experienced early-postoperative IOP elevation. Of those 100 eyes, 78.0% were men, 27.0% had an axial length (AL) of ≥ 26.5 mm, 23.0% had a history of glaucoma treatment, 11.0% had poor mydriasis and 10.0% had intraoperative floppy iris syndrome (IFIS). Multivariate analysis findings revealed that male [odds ratio (OR) 4.36; 95% confidence interval (CI) 2.63–7.23; P < 0.001], AL of ≥ 26.5 mm (3.11; 1.83–5.30; P < 0.001), a history of glaucoma treatment (2.83; 1.63–4.91; P < 0.001), poorly mydriasis (2.63; 1.16–6.01; P = 0.02), IFIS (4.37; 1.78–10.74; P = 0.001) and baseline high IOP (1.09; 1.01–1.18; P = 0.03) were associated with increased IOP during the early period post cataract surgery.ConclusionsThe findings in this study reveal that male sex, high myopia, a history of glaucoma treatment, poor mydriasis, IFIS and baseline high IOP are risk factors for IOP elevation during the early period post cataract surgery. More... »

PAGES

373-378

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10384-022-00918-z

DOI

http://dx.doi.org/10.1007/s10384-022-00918-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1147171364

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35430642


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