Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period

Sri Ganesh, Sheetal BrarDepartment of Phaco and Refractive Surgeries, Nethradhama Superspeciality Eye Hospital, Bangalore, IndiaPurpose: To compare the effect of two ocular viscosurgical devices (OVDs) on intraocular pressure (IOP) and surgical time in immediate postoperative period after bilateral...

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Main Authors: Ganesh S, Brar S
Format: Article
Language:English
Published: Dove Medical Press 2016-01-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/comparison-of-surgical-time-and-iop-spikes-with-two-ophthalmic-viscosu-peer-reviewed-article-OPTH
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author Ganesh S
Brar S
author_facet Ganesh S
Brar S
author_sort Ganesh S
collection DOAJ
description Sri Ganesh, Sheetal BrarDepartment of Phaco and Refractive Surgeries, Nethradhama Superspeciality Eye Hospital, Bangalore, IndiaPurpose: To compare the effect of two ocular viscosurgical devices (OVDs) on intraocular pressure (IOP) and surgical time in immediate postoperative period after bilateral implantable collamer lens (using the V4c model) implantation.Methods: A total of 20 eligible patients were randomized to receive 2% hydroxypropylmethylcellulose (HPMC) in one eye and 1% hyaluronic acid in fellow eye. Time taken for complete removal of OVD and total surgical time were recorded. At the end of surgery, IOP was adjusted between 15 and 20 mmHg in both the eyes.Results: Mean time for complete OVD evacuation and total surgical time were significantly higher in the HPMC group (P=0.00). Four eyes in the HPMC group had IOP spike, requiring treatment. IOP values with noncontact tonometry at 1, 2, 4, 24, and 48 hours were not statistically significant (P>0.05) for both the groups.Conclusion: The study concluded that 1% hyaluronic acid significantly reduces total surgical time, and incidence of acute spikes may be lower compared to 2% HPMC when used for implantable collamer lens (V4c model).Keywords: OVD, hyaluronic acid, ICL, V4c, IOP spikes
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spelling doaj.art-66a8f1a9be7e47cb8676c8d058b7a82e2022-12-21T19:31:55ZengDove Medical PressClinical Ophthalmology1177-54832016-01-012016Issue 120721125405Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative periodGanesh SBrar SSri Ganesh, Sheetal BrarDepartment of Phaco and Refractive Surgeries, Nethradhama Superspeciality Eye Hospital, Bangalore, IndiaPurpose: To compare the effect of two ocular viscosurgical devices (OVDs) on intraocular pressure (IOP) and surgical time in immediate postoperative period after bilateral implantable collamer lens (using the V4c model) implantation.Methods: A total of 20 eligible patients were randomized to receive 2% hydroxypropylmethylcellulose (HPMC) in one eye and 1% hyaluronic acid in fellow eye. Time taken for complete removal of OVD and total surgical time were recorded. At the end of surgery, IOP was adjusted between 15 and 20 mmHg in both the eyes.Results: Mean time for complete OVD evacuation and total surgical time were significantly higher in the HPMC group (P=0.00). Four eyes in the HPMC group had IOP spike, requiring treatment. IOP values with noncontact tonometry at 1, 2, 4, 24, and 48 hours were not statistically significant (P>0.05) for both the groups.Conclusion: The study concluded that 1% hyaluronic acid significantly reduces total surgical time, and incidence of acute spikes may be lower compared to 2% HPMC when used for implantable collamer lens (V4c model).Keywords: OVD, hyaluronic acid, ICL, V4c, IOP spikeshttps://www.dovepress.com/comparison-of-surgical-time-and-iop-spikes-with-two-ophthalmic-viscosu-peer-reviewed-article-OPTHOVDHyaluronic acidICLV4cIOP spikes
spellingShingle Ganesh S
Brar S
Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period
Clinical Ophthalmology
OVD
Hyaluronic acid
ICL
V4c
IOP spikes
title Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period
title_full Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period
title_fullStr Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period
title_full_unstemmed Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period
title_short Comparison of surgical time and IOP spikes with two ophthalmic viscosurgical devices following Visian STAAR (ICL, V4c model) insertion in the immediate postoperative period
title_sort comparison of surgical time and iop spikes with two ophthalmic viscosurgical devices following visian staar icl v4c model insertion in the immediate postoperative period
topic OVD
Hyaluronic acid
ICL
V4c
IOP spikes
url https://www.dovepress.com/comparison-of-surgical-time-and-iop-spikes-with-two-ophthalmic-viscosu-peer-reviewed-article-OPTH
work_keys_str_mv AT ganeshs comparisonofsurgicaltimeandiopspikeswithtwoophthalmicviscosurgicaldevicesfollowingvisianstaariclv4cmodelinsertionintheimmediatepostoperativeperiod
AT brars comparisonofsurgicaltimeandiopspikeswithtwoophthalmicviscosurgicaldevicesfollowingvisianstaariclv4cmodelinsertionintheimmediatepostoperativeperiod