RESUMO
PURPOSE: To compare outcomes and complications of patients undergoing phacoemulsification with and without the administration of intracameral phenylephrine. MATERIALS AND METHODS: In this retrospective study, a chart review was performed. Two groups with an equal number of patients who did or did not receive intracameral phenylephrine during phacoemulsification were compared for differences in outcomes, risk factors and complications. The Chi-square test was used for comparison between groups. P<0.05 was statistically significant. RESULTS: The two groups were well matched with regard to preoperative ophthalmic and systemic risk factors for complications and had very similar phacoemulsification power and time profiles. No differences in outcome were detected (P>0.05, all comparisons). CONCLUSION: This retrospective study suggests that intracameral phenylephrine normalizes the intraoperative risk of small pupil cataract surgery and is not associated with an increased risk of systemic or postoperative ophthalmic complications.
Assuntos
Facoemulsificação , Fenilefrina/administração & dosagem , Complicações Pós-Operatórias/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Câmara Anterior , Feminino , Seguimentos , Humanos , Incidência , Injeções , Período Intraoperatório , Masculino , Pessoa de Meia-Idade , Midriáticos/administração & dosagem , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Fatores de Risco , País de Gales/epidemiologiaRESUMO
Most ophthalmologists are aware of the risk of elevated intraocular pressure developing 1 or 2 months after an intravitreal injection of triamcinolone. However, the two cases reported here demonstrate that such a rise can occur significantly later than this. All patients who have had intravitreal steroid injection should therefore have prolonged intraocular pressure monitoring.
Assuntos
Glucocorticoides/efeitos adversos , Pressão Intraocular/efeitos dos fármacos , Hipertensão Ocular/induzido quimicamente , Triancinolona Acetonida/efeitos adversos , Idoso , Anti-Hipertensivos/uso terapêutico , Retinopatia Diabética/tratamento farmacológico , Feminino , Humanos , Injeções , Edema Macular/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Hipertensão Ocular/tratamento farmacológico , Corpo VítreoRESUMO
Persistent fetal vasculature (PFV), also known as persistent hyperplastic primary vitreous (PHPV), is a failure of regression of the primary vitreous, which usually occurs in isolation. Orbital lymphangiomas present in early life with eyelid swelling or proptosis and are not associated with intraocular abnormalities. We report the case of a male infant with PHPV and ipsilateral orbital lymphangioma.
