Influence of Ocular and Systemic Variables on Intraocular Pressure Change Following Phacoemulsification in Non-Glaucomatous Eyes.
Purpose: To evaluate the influence of preoperative ocular and systemic variables on intraocular pressure (IOP) change following phacoemulsification cataract extraction with intraocular lens (CEIOL) implantation in eyes without glaucoma. Methods: This retrospective cohort study included adults who un...
| Publicado en: | Journal of Ophthalmic & Vision Research Vol. 20; pp. 1 - 10 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Knowledge E DMCC
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190994263&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190994263 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20082010 AY5S jtl: Journal of Ophthalmic & Vision Research issn: 20082010 maglogo: N pubinfo: dt: 2025 vid: 20 pid: 35682 pub: Knowledge E DMCC artinfo: ui: 190994263 190994263 190994263 10.18502/jovr.v20.17557 190994263 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Influence of Ocular and Systemic Variables on Intraocular Pressure Change Following Phacoemulsification in Non-Glaucomatous Eyes. aug: au: Yaskanich, Ashley H. Fang, Wei Elwarfalli, Ibrahim Palko, Joel R. affil: West Virginia University School of Medicine, Morgantown, WV, USA sug: subj: Intraocular Pressure Evaluation Phacoemulsification Glaucoma Treatment Outcomes Evaluation Cataract Extraction Ocular Physiology Sociodemographic Factors Preoperative Care Lenses, Intraocular Human Funding Source Male Female Retrospective Design Prospective Studies Current Procedural Terminology International Classification of Diseases Multivariate Analysis Descriptive Statistics Data Analysis Software Confidence Intervals Time Factors Sex Factors Body Mass Index Smoking Diabetes Mellitus Complications Middle Age Aged Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Purpose: To evaluate the influence of preoperative ocular and systemic variables on intraocular pressure (IOP) change following phacoemulsification cataract extraction with intraocular lens (CEIOL) implantation in eyes without glaucoma. Methods: This retrospective cohort study included adults who underwent standalone CEIOL at a single academic center between 2017 and 2020. Preoperative demographic, ocular, and systemic health data were extracted from electronic health records using an informatics-based approach and validated by chart review. Eyes with glaucoma or other preoperative ocular conditions known to affect IOP were excluded. Postoperative IOP data were collected for up to 2 years and censored at the time of any subsequent diagnosis or treatment likely to influence IOP. A linear mixed-effects model was used to assess associations between IOP change and preoperative ocular (e.g., IOP, axial length, central corneal thickness) and systemic variables (e.g., diabetes, body mass index [BMI], smoking status), accounting for inter-eye correlation. Results: A total of 1992 eyes from 1755 patients were included. Higher preoperative IOP (β = –0.563, P < 0.001) and female gender (β = –0.229, P = 0.005) predicted greater postoperative IOP reduction. Longer axial length (β = 0.201, P < 0.001), diabetes mellitus (β = 0.291, P = 0.019), thicker cornea (β = 0.008, P < 0.001), and higher BMI (β = 0.022, P = 0.005) were associated with a relative increase in postoperative IOP. Conclusion: Both ocular and systemic variables significantly influenced postoperative IOP change following CEIOL in non-glaucomatous eyes. Understanding these associations may improve clinical decision-making and help tailor IOP-related counseling for patients undergoing cataract surgery. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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