Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black population
INTRODUCTION: Intraocular pressure changes have been reported following the various cataract surgical technique. This study aims to compare the intra-ocular pressure (IOP) variation following conventional extra-capsular cataract extraction (ECCE), manual small incision cataract surgery (MSICS) and p...
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| Format: | Article |
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The Pan African Medical Journal
2020-06-01
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| Series: | The Pan African Medical Journal |
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https://www.panafrican-med-journal.com/content/article/36/119/pdf/119.pdf
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| author | Oluwatoyin Helen Onakpoya Adenike Odunmorayo Adeoye Bernice Oluwakemi Adegbehingbe Sarat Abolore Badmus Bolajoko Abidemi Adewara Oluwaseun Olaniyi Awe Patrick Agadaigho Udonwa |
| author_facet | Oluwatoyin Helen Onakpoya Adenike Odunmorayo Adeoye Bernice Oluwakemi Adegbehingbe Sarat Abolore Badmus Bolajoko Abidemi Adewara Oluwaseun Olaniyi Awe Patrick Agadaigho Udonwa |
| author_sort | Oluwatoyin Helen Onakpoya |
| collection | DOAJ |
| description | INTRODUCTION: Intraocular pressure changes have been reported following the various cataract surgical technique. This study aims to compare the intra-ocular pressure (IOP) variation following conventional extra-capsular cataract extraction (ECCE), manual small incision cataract surgery (MSICS) and phacoemulsification in an indigenous black population. METHODS: a comparative cross-sectional study of adult patients aged 40 years and above who had pressure was measured with Goldman´s applanation tonometer pre-operatively and 1stday, 1st week, 1st month as well as 3rd month post-operative periods and recorded. Data was analyzed using SPSS version 21. Mean IOP changes between study groups were compared using ANOVA. P-value of 0.05 was taken as statistically significant. RESULTS: total of 82 patients consisting of 20(24.4%) ECCE, 32(39%) MSICS and 30(36.6%) phacoemulsification with mean preoperative 13.4mmHg, 13.5mmHg and 14.1 mmHg (p = 0.657) respectively was studied. Mean IOP increased from baseline at 1st sup day post-operative period in the ECCE and MSICS groups (13.4 ± 3.0mmHg to 13.7 ± 4.5mmHg (p = 0.84) and 13.5 ± 3.1mmHg to 15.3 ± 5.1mmHg (P = 0.48) respectively), and decrease in the phacoemulsification group (14.1 ± 2.6mmHg to 13.9 ± 3.5mmHg (p = 0.378). There was a decline in IOP in all the 3 study groups by one week post-operative period; the difference was significant only in the ECCE group (p = 0.032). By 3rd month postoperatively, there was a reduction in mean IOP when compared with pre-operative IOP the difference being greatest in the ECCE group. CONCLUSION: ECCE, MSICS, and Phacoemulsification cause a decline in IOP below preoperative levels at 3rd month postoperatively in the MSICS group. |
| first_indexed | 2024-12-12T18:54:25Z |
| format | Article |
| id | doaj.art-ac0bc5a46e984469b86742491e0f0dad |
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| issn | 1937-8688 1937-8688 |
| language | English |
| last_indexed | 2024-12-12T18:54:25Z |
| publishDate | 2020-06-01 |
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| spelling | doaj.art-ac0bc5a46e984469b86742491e0f0dad2022-12-22T00:15:16ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882020-06-013611910.11604/pamj.2020.36.119.1694216942Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black populationOluwatoyin Helen Onakpoya0Adenike Odunmorayo Adeoye1Bernice Oluwakemi Adegbehingbe2Sarat Abolore Badmus3Bolajoko Abidemi Adewara4Oluwaseun Olaniyi Awe5Patrick Agadaigho Udonwa6 Department of Ophthalmology, Obafemi Awolowo University, Ile-Ife, Nigeria Department of Ophthalmology, Obafemi Awolowo University, Ile-Ife, Nigeria Department of Ophthalmology, Obafemi Awolowo University, Ile-Ife, Nigeria Department of Ophthalmology, Obafemi Awolowo University, Ile-Ife, Nigeria Department of Ophthalmology, Obafemi Awolowo University, Ile-Ife, Nigeria Department of Ophthalmology, Obafemi Awolowo University, Ile-Ife, Nigeria Department of Ophthalmology, Obafemi Awolowo University, Ile-Ife, Nigeria INTRODUCTION: Intraocular pressure changes have been reported following the various cataract surgical technique. This study aims to compare the intra-ocular pressure (IOP) variation following conventional extra-capsular cataract extraction (ECCE), manual small incision cataract surgery (MSICS) and phacoemulsification in an indigenous black population. METHODS: a comparative cross-sectional study of adult patients aged 40 years and above who had pressure was measured with Goldman´s applanation tonometer pre-operatively and 1stday, 1st week, 1st month as well as 3rd month post-operative periods and recorded. Data was analyzed using SPSS version 21. Mean IOP changes between study groups were compared using ANOVA. P-value of 0.05 was taken as statistically significant. RESULTS: total of 82 patients consisting of 20(24.4%) ECCE, 32(39%) MSICS and 30(36.6%) phacoemulsification with mean preoperative 13.4mmHg, 13.5mmHg and 14.1 mmHg (p = 0.657) respectively was studied. Mean IOP increased from baseline at 1st sup day post-operative period in the ECCE and MSICS groups (13.4 ± 3.0mmHg to 13.7 ± 4.5mmHg (p = 0.84) and 13.5 ± 3.1mmHg to 15.3 ± 5.1mmHg (P = 0.48) respectively), and decrease in the phacoemulsification group (14.1 ± 2.6mmHg to 13.9 ± 3.5mmHg (p = 0.378). There was a decline in IOP in all the 3 study groups by one week post-operative period; the difference was significant only in the ECCE group (p = 0.032). By 3rd month postoperatively, there was a reduction in mean IOP when compared with pre-operative IOP the difference being greatest in the ECCE group. CONCLUSION: ECCE, MSICS, and Phacoemulsification cause a decline in IOP below preoperative levels at 3rd month postoperatively in the MSICS group. https://www.panafrican-med-journal.com/content/article/36/119/pdf/119.pdf intraocular pressurephacoemulsificationextra capsular cataract extraction |
| spellingShingle | Oluwatoyin Helen Onakpoya Adenike Odunmorayo Adeoye Bernice Oluwakemi Adegbehingbe Sarat Abolore Badmus Bolajoko Abidemi Adewara Oluwaseun Olaniyi Awe Patrick Agadaigho Udonwa Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black population The Pan African Medical Journal intraocular pressure phacoemulsification extra capsular cataract extraction |
| title | Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black population |
| title_full | Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black population |
| title_fullStr | Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black population |
| title_full_unstemmed | Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black population |
| title_short | Intraocular pressure variation after conventional extracapsular cataract extraction, manual small incision cataract surgery and phacoemulsification in an indigenous black population |
| title_sort | intraocular pressure variation after conventional extracapsular cataract extraction manual small incision cataract surgery and phacoemulsification in an indigenous black population |
| topic | intraocular pressure phacoemulsification extra capsular cataract extraction |
| url |
https://www.panafrican-med-journal.com/content/article/36/119/pdf/119.pdf
|
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