Correlation between Intraocular Pressure Fluctuation with Postural Change and Postoperative Intraocular Pressure in Relation to the Time Course after Trabeculectomy

Background. To investigate the correlation between intraocular pressure (IOP) fluctuation with postural change and IOP in relation to the time course after trabeculectomy. Methods. A total of 29 patients who had previously undergone primary trabeculectomy with mitomycin C were examined. IOP was obta...

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Main Authors: Kazuyuki Hirooka, Kaori Tenkumo, Eri Nitta, Shino Sato
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2014/801967
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author Kazuyuki Hirooka
Kaori Tenkumo
Eri Nitta
Shino Sato
author_facet Kazuyuki Hirooka
Kaori Tenkumo
Eri Nitta
Shino Sato
author_sort Kazuyuki Hirooka
collection DOAJ
description Background. To investigate the correlation between intraocular pressure (IOP) fluctuation with postural change and IOP in relation to the time course after trabeculectomy. Methods. A total of 29 patients who had previously undergone primary trabeculectomy with mitomycin C were examined. IOP was obtained at 1, 2, 3, 6, and 12 months and then every 6 months postoperatively. Results. The postural IOP difference before surgery was 3.0±1.8 mmHg, which was reduced to 0.9±1.1 mmHg at 1 month, 1.0±1.0 mmHg at 2 months, 1.3±2.0 mmHg at 3 months, 1.3±1.4 mmHg at 6 months, 1.4±1.5 mmHg at 12 months, and 1.1±0.7 mmHg at 18 months after trabeculectomy (P<0.01 each visit). The filtering surgery failed in 7 out of 29 eyes. Postural IOP changes were less than 3 mmHg in those patients who did not require needle revision at every visit. However, in patients who did require needle revision, the increase in the posture-induced IOP was greater than 3 mmHg prior to the increase in the sitting position IOP. Conclusions. Assessment of postural IOP changes after trabeculectomy might be potentially useful for predicting IOP changes after trabeculectomy.
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spelling doaj-art-2b6c6550738b4c19b21e0d7583a968852025-02-03T06:42:18ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/801967801967Correlation between Intraocular Pressure Fluctuation with Postural Change and Postoperative Intraocular Pressure in Relation to the Time Course after TrabeculectomyKazuyuki Hirooka0Kaori Tenkumo1Eri Nitta2Shino Sato3Department of Ophthalmology, Kagawa University Faculty of Medicine, 1750-1 Ikenobe, Miki, Kagawa 761-0793, JapanDepartment of Ophthalmology, Kagawa University Faculty of Medicine, 1750-1 Ikenobe, Miki, Kagawa 761-0793, JapanDepartment of Ophthalmology, Kagawa University Faculty of Medicine, 1750-1 Ikenobe, Miki, Kagawa 761-0793, JapanDepartment of Ophthalmology, Kagawa University Faculty of Medicine, 1750-1 Ikenobe, Miki, Kagawa 761-0793, JapanBackground. To investigate the correlation between intraocular pressure (IOP) fluctuation with postural change and IOP in relation to the time course after trabeculectomy. Methods. A total of 29 patients who had previously undergone primary trabeculectomy with mitomycin C were examined. IOP was obtained at 1, 2, 3, 6, and 12 months and then every 6 months postoperatively. Results. The postural IOP difference before surgery was 3.0±1.8 mmHg, which was reduced to 0.9±1.1 mmHg at 1 month, 1.0±1.0 mmHg at 2 months, 1.3±2.0 mmHg at 3 months, 1.3±1.4 mmHg at 6 months, 1.4±1.5 mmHg at 12 months, and 1.1±0.7 mmHg at 18 months after trabeculectomy (P<0.01 each visit). The filtering surgery failed in 7 out of 29 eyes. Postural IOP changes were less than 3 mmHg in those patients who did not require needle revision at every visit. However, in patients who did require needle revision, the increase in the posture-induced IOP was greater than 3 mmHg prior to the increase in the sitting position IOP. Conclusions. Assessment of postural IOP changes after trabeculectomy might be potentially useful for predicting IOP changes after trabeculectomy.http://dx.doi.org/10.1155/2014/801967
spellingShingle Kazuyuki Hirooka
Kaori Tenkumo
Eri Nitta
Shino Sato
Correlation between Intraocular Pressure Fluctuation with Postural Change and Postoperative Intraocular Pressure in Relation to the Time Course after Trabeculectomy
Journal of Ophthalmology
title Correlation between Intraocular Pressure Fluctuation with Postural Change and Postoperative Intraocular Pressure in Relation to the Time Course after Trabeculectomy
title_full Correlation between Intraocular Pressure Fluctuation with Postural Change and Postoperative Intraocular Pressure in Relation to the Time Course after Trabeculectomy
title_fullStr Correlation between Intraocular Pressure Fluctuation with Postural Change and Postoperative Intraocular Pressure in Relation to the Time Course after Trabeculectomy
title_full_unstemmed Correlation between Intraocular Pressure Fluctuation with Postural Change and Postoperative Intraocular Pressure in Relation to the Time Course after Trabeculectomy
title_short Correlation between Intraocular Pressure Fluctuation with Postural Change and Postoperative Intraocular Pressure in Relation to the Time Course after Trabeculectomy
title_sort correlation between intraocular pressure fluctuation with postural change and postoperative intraocular pressure in relation to the time course after trabeculectomy
url http://dx.doi.org/10.1155/2014/801967
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