Postoperative Intraocular Pressure Changes After Cataract Surgery Using Phacoemulsification Technique at H. Abdul Manap Regional Hospital Jambi During July–September 2025
Aug 2026· International Journal of Health and Social Behavior· 0 citations
TL;DR
Phacoemulsification resulted in a significant reduction in intraocular pressure and demonstrated good postoperative outcomes, and the frequency of related risk factors was determined.
Abstract
Background: Phacoemulsification is the standard therapy for cataracts; however, postoperative changes in intraocular pressure (IOP) may lead to complications. This study observed changes in IOP on the first and sixth postoperative days and the associated risk factors. Objective: To analyze changes in IOP after phacoemulsification and determine the frequency of related risk factors. Methods: A prospective cohort study was conducted on 31 eyes from 27 patients who underwent uncomplicated phacoemulsification at H. Abdul Manap Regional Hospital Jambi from July to September 2025. IOP was measured on postoperative day 1 and day 6. Data were analyzed using the Wilcoxon Signed Rank test with a significance level of p < 0.05. Results: The majority of patients were male (68%) and aged 60–74 years (48%). Mean IOP decreased significantly from 17.16 mmHg on postoperative day 1 to 14.00 mmHg on day 6 (p = 0.001). Knowledge of wound care and medication adherence were considered good. Corneal edema was observed in 4 cases on day 1 and was not observed on day 6. Postoperative inflammatory symptoms also decreased. Conclusion: Phacoemulsification resulted in a significant reduction in IOP and demonstrated good postoperative outcomes.
Background: Cataract is one of the most common preventable causes of blindness in the world, and the gold standard surgical treatment is phacoemulsification (PHACO) with intraocular lens (IOL) implantation. This study aimed to assess the changes in anterior segment biometry, particularly ACD, before and after PHACO with IOL, using A-scan biometry.
Methods: This prospective observational study was conducted at Mugda Medical College Hospital, Dhaka, from July 2024 to December 2025. 100 patients who had uncomplicated PHACO with PCIOL implantation were enrolled. The A-scan ultrasonic biometer was used to measure ACD at baseline (preoperative) and on the 7th postoperative day (POD) and at one month postoperatively. Data were entered and analyzed on SPSS version 26.
Results: The mean age was 61.8 ± 8.7 years, and 56% were male. Age-related cataract was the commonest diagnosis, 62%. Mean ACD increased significantly from 2.92 ± 0.28 mm preoperatively to 3.54 ± 0.31 mm on the 7th POD and 3.58 ± 0.30 mm at one month. The mean increases were 0.62 mm and 0.66 mm, respectively, both statistically significant, P < 0.001.
Conclusions: PHACO, along with IOL, results in a clinically and statistically significant deepening of the ACD, especially in patients with shallow preoperative ACD. These biometric changes are well monitored by A-scan ultrasonic biometry.
S. Bhuiyan, Mahfuza Akter, Taiaba Sultana· Annals of International medi...· 0 citations
Phacoemulsification shows a modest, non-significant advantage in early visual recovery, but both techniques remain effective and safe in patients with senile cataract.
Maninee Suman, Pradeep Kumar, Nandani Priyadarshini· International Journal of Pha...· 0 citations
This study aimed to observe the safety and effectiveness of combined phacoemulsification and goniosynechialysis (PEI-GSL) in patients with primary angle-closure glaucoma (PACG) and coexisting cataracts. This multicenter prospective study enrolled 289 consecutive patients with PACG and cataracts who were treated using PEI-GSL between November 1, 2022 and March 12, 2024. All patients underwent comprehensive ocular evaluations at baseline, at 1 week, and at 1, 3, 6, and 12 months postoperatively. Complete success was defined as achieving an intraocular pressure (IOP) of 6–18 mmHg without antiglaucoma medications or reoperation. Qualified success was similarly defined but allowed antiglaucoma medications. Among patients with PACG, 237 (82.0%) of 289 completed a 12-month follow-up. The baseline IOP decreased from 22.9 ± 10.2 to 14.0 ± 3.1 mmHg at 12 months, and the number of antiglaucoma medications declined from 2.08 ± 1.23 to 0.14 ± 0.52. The complete and qualified success rates were 80.6% and 88.3%, respectively. Postoperative complications occurred in 49 (17.0%) patients; while 3 (1.0%) patients underwent yttrium-aluminum-garnet (YAG) laser capsulotomy and 6 (2.1%) required glaucoma surgery. Multivariate Cox regression analysis revealed that the anterior chamber depth (P = 0.044) and axial length (P = 0.050) were positively associated with qualified success. The complete and qualified success rates among patients with advanced PACG were 78.2% and 87.9%, respectively. We demonstrated that PEI-GSL is an effective and safe treatment for patients with PACG and coexisting cataracts, even in advanced stages.
Kun Xiong, Wuliang Li, Qingyi Liu et al.· Eye and Vision· 0 citations
FLACS demonstrated faster and more complete recovery of corneal sensitivity by 90 days, but this neurosensory advantage may be particularly relevant for patients predisposed to ocular surface dysfunction.
Isabella Passarelli Giabardo Marques, C. L. Budib, C. R. Hilgert et al.· Indian Journal of Ophthalmol...· 0 citations
Background and objective: Cataract is a major cause of treatable blindness, while postoperative endophthalmitis, although rare, is a severe complication. The objective of this study was to evaluated the safety and clinical outcomes of intraoperative 0.25% povidone-iodine irrigation during cataract surgery for prevention of postoperative endophthalmitis.
Methods: A retrospective review of medical records was conducted in patients who underwent cataract surgery between January 1, 2021, and March 30, 2025, with intraoperative irrigation using 0.25% povidone-iodine solution. Data were analyzed using descriptive statistics.
Results: A total of 838 patients were included with mean age 66.9 ± 9.6 years, most were female (56.9%). The majority underwent phacoemulsification with intraocular lens implantation (97.6%). On postoperative day 1, anterior chamber inflammation graded 1+, 2+ and 3+ were observed in 28.6%, 60.0% and 11.4%, respectively, decreasing to trace in 99.5% within 7 days. The mean time to absence of inflammation was 32.9 ± 6.9 days. No postoperative endophthalmitis was detected during mean follow-up of 9.9 ± 6.0 months. Postoperative visual acuity of 6/12 or better was achieved in 77% of patients after 6 months of surgery.
Conclusions: The intraoperative use of 0.25% povidone-iodine solution during cataract surgery demonstrated a favorable safety profile and acceptable clinical outcomes, with no cases of postoperative endophthalmitis observed during the follow-up period. However, as this study did not include a comparison group, it could not determine whether the preventive effect against postoperative endophthalmitis differed from that of no prophylactic use or other preventive approaches.
Wipada Sererat· Srinagarind Medical Journal· 0 citations
Purpose: To evaluate the effect of corneal suture removal timing after phacoemulsification on refractive and corneal astigmatism and best-corrected visual acuity (BCVA). Methods: This prospective, single-center comparative study included 34 patients (34 eyes, aged 40–60 years). All eyes underwent uncomplicated phacoemulsification through a 2.75-mm superior corneal incision closed with a single 10-0 nylon suture. Patients were randomized into two groups: Suture removal at 1 week (Group 1) or at 1 month (Group 2). Refractive astigmatism, keratometric astigmatism, and BCVA were evaluated immediately before suture removal and at 1 h, 1 week, and 1 month afterward. Results: Baseline characteristics were similar between groups (p>0.05), and no wound-related complications occurred. In Group 1, refractive astigmatism decreased significantly from 2.18±0.87 D to 0.88±0.42 D at 1 month after suture removal (p<0.001), with most of the reduction occurring within the first post-operative week. In Group 2, refractive astigmatism showed only a minimal change and did not reach statistical significance (1.61±0.68 D to 1.31±0.53 D; p=0.057). Corneal astigmatism reduction was also more pronounced in Group 1. At 1 month, Group 1 demonstrated significantly lower refractive astigmatism than Group 2. (p=0.037) Vector analysis further supported these findings. The early removal group demonstrated significantly greater surgically induced astigmatism correction (SIA 1.68±0.51 D vs. 1.43±0.54 D; p=0.041) and a lower difference vector (0.49±0.28 D vs. 0.77±0.31 D; p=0.012), indicating more effective reduction of suture-induced astigmatism. Conclusion: Early corneal suture removal after cataract surgery provides a faster and greater reduction in post-operative astigmatism and accelerates visual rehabilitation. When wound stability is adequate, suture removal at approximately 1 week post-operatively may be recommended to optimize early refractive outcomes.
Y. Dağ, Y. B. Akbaş, Said Guler et al.· European Eye Research· 0 citations
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