.
IOP Surge
S
in First
F
24 Hours
H
afterr YAG-Caapsulotom
my
Dr Qamar
Q
Faroo
oq
Departmentt of Ophthlm
mology, Benaazir Bhutto Hospital
H
A Rawalpiiindi Medicaal College
And
Objectiv
ve: To record
d after YAG –capsulotom
my at 1,4 an
nd 24 hours post
p
laser
application and to fin
nd the relatiion between
n the laser do
ose and the post laser
duration to the rise in
n IOP in posst capsulotom
my care.
Methodss:Patients with
w
significcant posteriior capsularr opacification were
enrolled.. Pree – YA
AGIOP were taken and the amoun
nt of energy used for
capsuloto
omy (in julees) was notted alongwitth the number of shotss and the
time of laaser application. IOPs were
w
recordeed at 1,4 and
d 24 hours postp
YAG
application. Those sh
howing risee of IOP mo
ore than 5 mm
m HG werre started medical
m
treattment
for the saake of safety
y and were managed
m
further accordiingly
Results: 42% of stud
dy population
n showed a rise of IOP less
l
than 4 mm
m Hg,7% sh
howed a risee of 4
to 6 mm Hg, 15 % sh
howed a rise of IOP > 6 to
t 10 mm Hg
g and 10% sh
howed a risee of more thaan 10
mm Hg, while 20% showed
s
eitheer a fall or no change in IOP
Conclusiion: It is com
mmon to seee a significan
nt rise of IOP
P post YAG-- laser capsu
ultomy, especcially
during th
he first 24 ho
ours. Out of 50% of the total patien
nts showing a rise of morre than 4 mm
m Hg
36% showed by 1 hour,
h
40% by
b 4 hours and 24% sh
howed the rise by 24 hours post laser
application
******************************
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