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First day follow up for routine phacoemulsification?
L Whitefield1, J Crowston, B C Little
1Department of Ophthalmology, Royal Free Hospital, London.
Aims:
To determine the postoperative morbidity on day 1 after uncomplicated phacoemulsification.
Methods:
A prospective study was performed on 100 otherwise healthy eyes after uncomplicated phacoemulsification and lens implant. Patients were examined on the first postoperative day and any deviation from a set postoperative protocol was recorded.
Results:
Transient intraocular pressure rises of 30 mm Hg or greater were seen in three eyes. These all settled after a single dose of oral acetazolamide 250 mg.
Conclusions:
The results of this study reinforce the clinical impression that the need for day 1 routine follow up in this selected group of patients is questionable and probably unnecessary.