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Surgical PI the savior
Session Title: Keratoconus and ectasia
Session Date/Time: Tuesday 08/10/2013 | 16:30-18:00
Paper Time: 17:49
Venue: Elicium 2 (First Floor)
First Author: : P.Reddy INDIA
Co Author(s): :
ICL-TICL,Glaucoma, Surgical PI
Retrospective review of patients who had Staar ICL implantation from January 2010 to December 2012 and had an IOP of greater than 21 mm of hg by applanation or non-contact tonometry in the post operative follow up. All patients operated under topical with a superior surgical peripheral iridectomy. Post operatively, Prednisolone Acetate eye drops, Moxifloxacin eye drops were used.
In the study period 895 eyes of 459 patients had 520 Spherical and 375 Toric- ICLs, 197 males and 262 females .There were 453 myopes, 3 hyperopes and 3 mixed astigmatism. The range of myopia was -1.75 to -28.0 D spherical and -0.5 to -6.00 D cylinder. 100% of them had 20/40 VA. Raised I.O.P was seen in 42 patients (9.15%). Raised I.O.P within first 24 hours due to the retained dispersive ophthalmic visco surgical devices seen in 12 eyes (28.58 %) and the range was 22-30 mm of Hg 30 eyes (71.42%) were steroid induced with a range of 24-42 mm of Hg. All these patients were medically managed with oral and topical anti Glaucoma medication in the former and also withdrawal of steroids in the latter. None required long term medical Treatment or glaucoma surgery. Surgical PI was patent in all eyes.
Retained ophthalmic VSD and steroid response were the causes of glaucoma following Staar ICL implantation in our series. None of our patients had pupillary block glaucoma and we attribute this to our approach of surgical Iridectomy.