Day 1 postoperative intraocular pressure spike in vitreoretinal surgery (VDOP1)

Roger Wong; Bhaskar Gupta; Thomas H. Williamson; Alistair Laidlaw

doi:10.1111/j.1755-3768.2009.01703.x

Day 1 postoperative intraocular pressure spike in vitreoretinal surgery (VDOP1)

Roger Wong^*, Bhaskar Gupta, Thomas H. Williamson, Alistair Laidlaw

^*Corresponding author for this work

GSTT Guy's and St Thomas' NHS Foundation Trust

Research output: Contribution to journal › Article › peer-review

24 Citations (Scopus)

Abstract

Purpose: To classify the clinical characteristics that might identify patients who may not require next-day follow-up following routine vitreoretinal intervention.

Methods: Prospective case series.

Results: The only statistically significant factors for raised intraocular pressure (IOP) were gas tamponade and preoperative raised IOP. 44.7% (17/38) of patients with preoperative IOP >= 20 mmHg had postoperative IOP >= 30 mmHg while 8.6% (17/197) of patients with preoperative IOP <20 mmHg had postoperative IOP >= 30 mmHg (p = 0.0001). Phacoemulsification did not increase risk for a postoperative IOP spike. There was a 20-21% risk of postoperative IOP > 30 mmHg for patients with gas tamponade. All patients with no tamponade with IOP > 30 mmHg had preoperative IOP >= 20 mmHg.

Conclusion: Uncomplicated vitreoretinal procedures with preoperative IOP of <20 mmHg and no gas tamponade are unlikely to have uncontrolled IOP spike at day 1.

Original language	English
Pages (from-to)	365-368
Number of pages	4
Journal	Acta Ophthalmologica
Volume	89
Issue number	4
DOIs	https://doi.org/10.1111/j.1755-3768.2009.01703.x
Publication status	Published - Jun 2011

Keywords

intraocular pressure
postoperative
retina
vitrectomy
PARS-PLANA VITRECTOMY
SEVERE PROLIFERATIVE VITREORETINOPATHY
RANDOMIZED CLINICAL-TRIAL
SULFUR-HEXAFLUORIDE GAS
VITREOUS SURGERY
SILICONE OIL
APRACLONIDINE
EYES
HYDROCHLORIDE
ELEVATION

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10.1111/j.1755-3768.2009.01703.x

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title = "Day 1 postoperative intraocular pressure spike in vitreoretinal surgery (VDOP1)",

abstract = "Purpose: To classify the clinical characteristics that might identify patients who may not require next-day follow-up following routine vitreoretinal intervention.Methods: Prospective case series.Results: The only statistically significant factors for raised intraocular pressure (IOP) were gas tamponade and preoperative raised IOP. 44.7% (17/38) of patients with preoperative IOP >= 20 mmHg had postoperative IOP >= 30 mmHg while 8.6% (17/197) of patients with preoperative IOP <20 mmHg had postoperative IOP >= 30 mmHg (p = 0.0001). Phacoemulsification did not increase risk for a postoperative IOP spike. There was a 20-21% risk of postoperative IOP > 30 mmHg for patients with gas tamponade. All patients with no tamponade with IOP > 30 mmHg had preoperative IOP >= 20 mmHg.Conclusion: Uncomplicated vitreoretinal procedures with preoperative IOP of <20 mmHg and no gas tamponade are unlikely to have uncontrolled IOP spike at day 1.",

keywords = "intraocular pressure, postoperative, retina, vitrectomy, PARS-PLANA VITRECTOMY, SEVERE PROLIFERATIVE VITREORETINOPATHY, RANDOMIZED CLINICAL-TRIAL, SULFUR-HEXAFLUORIDE GAS, VITREOUS SURGERY, SILICONE OIL, APRACLONIDINE, EYES, HYDROCHLORIDE, ELEVATION",

author = "Roger Wong and Bhaskar Gupta and Williamson, {Thomas H.} and Alistair Laidlaw",

year = "2011",

month = jun,

doi = "10.1111/j.1755-3768.2009.01703.x",

language = "English",

volume = "89",

pages = "365--368",

journal = "Acta Ophthalmologica",

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T1 - Day 1 postoperative intraocular pressure spike in vitreoretinal surgery (VDOP1)

AU - Wong, Roger

AU - Gupta, Bhaskar

AU - Williamson, Thomas H.

AU - Laidlaw, Alistair

PY - 2011/6

Y1 - 2011/6

N2 - Purpose: To classify the clinical characteristics that might identify patients who may not require next-day follow-up following routine vitreoretinal intervention.Methods: Prospective case series.Results: The only statistically significant factors for raised intraocular pressure (IOP) were gas tamponade and preoperative raised IOP. 44.7% (17/38) of patients with preoperative IOP >= 20 mmHg had postoperative IOP >= 30 mmHg while 8.6% (17/197) of patients with preoperative IOP <20 mmHg had postoperative IOP >= 30 mmHg (p = 0.0001). Phacoemulsification did not increase risk for a postoperative IOP spike. There was a 20-21% risk of postoperative IOP > 30 mmHg for patients with gas tamponade. All patients with no tamponade with IOP > 30 mmHg had preoperative IOP >= 20 mmHg.Conclusion: Uncomplicated vitreoretinal procedures with preoperative IOP of <20 mmHg and no gas tamponade are unlikely to have uncontrolled IOP spike at day 1.

AB - Purpose: To classify the clinical characteristics that might identify patients who may not require next-day follow-up following routine vitreoretinal intervention.Methods: Prospective case series.Results: The only statistically significant factors for raised intraocular pressure (IOP) were gas tamponade and preoperative raised IOP. 44.7% (17/38) of patients with preoperative IOP >= 20 mmHg had postoperative IOP >= 30 mmHg while 8.6% (17/197) of patients with preoperative IOP <20 mmHg had postoperative IOP >= 30 mmHg (p = 0.0001). Phacoemulsification did not increase risk for a postoperative IOP spike. There was a 20-21% risk of postoperative IOP > 30 mmHg for patients with gas tamponade. All patients with no tamponade with IOP > 30 mmHg had preoperative IOP >= 20 mmHg.Conclusion: Uncomplicated vitreoretinal procedures with preoperative IOP of <20 mmHg and no gas tamponade are unlikely to have uncontrolled IOP spike at day 1.

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KW - postoperative

KW - retina

KW - vitrectomy

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KW - SEVERE PROLIFERATIVE VITREORETINOPATHY

KW - RANDOMIZED CLINICAL-TRIAL

KW - SULFUR-HEXAFLUORIDE GAS

KW - VITREOUS SURGERY

KW - SILICONE OIL

KW - APRACLONIDINE

KW - EYES

KW - HYDROCHLORIDE

KW - ELEVATION

U2 - 10.1111/j.1755-3768.2009.01703.x

DO - 10.1111/j.1755-3768.2009.01703.x

M3 - Article

SN - 1755-375X

VL - 89

SP - 365

EP - 368

JO - Acta Ophthalmologica

JF - Acta Ophthalmologica

IS - 4

ER -

Day 1 postoperative intraocular pressure spike in vitreoretinal surgery (VDOP1)

Abstract

Keywords

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