Document Detail

Postoperative intraocular pressure spikes: the need to treat.
MedLine Citation:
PMID:  15002028     Owner:  NLM     Status:  MEDLINE    
Raised intraocular pressure (IOP) still holds pride of place as the principal risk factor for developing glaucoma. The detrimental effects of chronically elevated IOP on the optic disc are well known. However, the clinical significance of acutely raised IOP is less certain. Transient acute elevations of intraocular pressure (IOP spikes) occur following many surgical and laser procedures. Cataract extraction, glaucoma surgery, pars plana vitrectomy with fluid air exchange, Nd-YAG capsulotomy, or peripheral iridotomy, and laser trabeculoplasty all have been reported to be associated with variable IOP spikes in the early postoperative period. There is considerable diversity of opinion concerning how these IOP spikes should best be managed. We have reviewed the nature and quality of the available experimental and clinical data relating to IOP spikes and we offer some broad, general guidelines for their clinical management.
P Tranos; G Bhar; B Little
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Eye (London, England)     Volume:  18     ISSN:  0950-222X     ISO Abbreviation:  Eye (Lond)     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-07-07     Completed Date:  2004-10-28     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  8703986     Medline TA:  Eye (Lond)     Country:  England    
Other Details:
Languages:  eng     Pagination:  673-9     Citation Subset:  IM    
Royal Free Hospital, Pond Street, London, UK.
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MeSH Terms
Cataract Extraction / adverse effects
Disease Models, Animal
Ocular Hypertension / etiology*,  therapy
Ophthalmologic Surgical Procedures / adverse effects*
Postoperative Care / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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