International Review of Ophthalmology

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Changes of intraocular pressure during phacoemulsification and its influence

LIN Jia, LIAO Xuan, LAN Chang-jun   

  1. Department of Ophthalmology, Affiliated Hospital of North Sichuan Medical College;  Department of Ophthalmology & Optometry, North Sichuan Medical College, Nanchong Sichuan 637000, China
  • Received:2016-09-16 Online:2017-04-22 Published:2017-04-20
  • Contact: LAN Chang-jun, Email: lanchangjun@sina.com
  • Supported by:

    The Key Science and Technology Self-funded Project of Science and Technology Department of Sichuan Province(05SG011-25)

Abstract:

Intraocular pressure (IOP)  significant varies during cataract phacoemulsification. At present, the studies of IOP in phacoemulsification  are mainly carried out using sensors connected with the animal or human eye anterior chamber or vitreous cavity, or implemented by sensors placed on the central cornea, so that the IOP and ocular blood flow can be measured in real-time fashion during operation. The results showed that intraoperative IOP was closely related to the height of the perfusion bottle and fluctuated strongly and constantly. Optic nerve and retina can be damaged on account of sharp increases and changes in intraoperative IOP. The surgeons should pay attention to the changes of intraoperative IOP, especially for patients with advanced glaucoma and ischemic optic neuropathy. In the case of maintaining the anterior chamber stability, reducing bottle height will decrease optic nerve and retinal damage and increase surgical safety.  (Int Rev Ophthalmol,  2017,  41:   106-109)