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Reconsidering the Postoperative Day 0 Visit for Retina Surgery.
Ophthalmic Surgery, Lasers & Imaging Retina
|September 18, 2018
Summary
Post-retina surgery outcomes were compared between postoperative day 0 and day 1 examinations. While overall abnormal intraocular pressure (IOP) rates were similar, hypotony was higher on day 0, and elevated IOP showed a trend on day 1.
Area of Science:
- Ophthalmology
- Retina Surgery
- Intraocular Pressure Management
Background:
- Postoperative monitoring is crucial after retina surgery.
- Intraocular pressure (IOP) abnormalities can occur post-surgery.
- Timing of postoperative examination may influence IOP assessment.
Purpose of the Study:
- To compare patient outcomes, specifically intraocular pressure (IOP), following retina surgery when examined on postoperative (PO) day 0 versus PO day 1.
- To identify any significant differences in hypotony or elevated IOP between the two examination time points.
Main Methods:
- A retrospective, comparative series of 166 patients examined on PO day 0 (approx. 5 hours post-op) and 428 patients examined on PO day 1.
- Data collected included intraocular pressure (IOP) measurements and need for intervention.
Main Results:
- 4.6% of PO day 0 patients had hypotony (IOP ≤ 5 mm Hg) compared to 1.6% of PO day 1 patients.
- 1.8% of PO day 0 patients required intervention for elevated IOP (IOP ≥ 30 mm Hg) compared to 4.0% of PO day 1 patients.
- Hypotony rate was statistically higher on PO day 0; a trend towards more elevated IOP was observed on PO day 1.
Conclusions:
- Similar overall rates of abnormal IOP are observed whether patients are examined on PO day 0 or PO day 1 after retina surgery.
- A statistically higher rate of hypotony was noted in the PO day 0 group.
- There was a trend towards more instances of elevated IOP in the PO day 1 group, suggesting timing of examination may impact IOP findings.
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