Relation Of Immediate Postoperative Intra-Ocular Pressure (IOP) With Long Term IOP In Retinal Detachment Surgery With Silicone Oil Tamponade.

1. Anusha Venkataraman
2. Vinit Shah
3. Rajvardhan Azad
4. Yograj Sharma

Dr.R.P.Centre for Ophthalmic Sciences, A.I.I.M.S., New Delhi, India

Purpose: To study the trend of IOP in retinal detachment surgery with silicone oil tamponade.

Methods: 20 eyes of 20 patients who underwent vitrectomy with silicone oil tamponade for uncomplicated retinal detachment were studied. After closure of surgical ports, the immediate post operative IOP was measured with Perkins tonometer using aseptic precautions. Post-op IOP measured at day 1, 7, 15, 30, 60, 90 were noted.

Results: IOP recorded at day 1 was significantly higher than the immediate post-operative IOP (p<0.001). Patients with immediate post-operative IOP < 10 mm Hg maintained lower IOP than those having IOP > 10 mm Hg, throughout the post op period, requiring lesser number of antiglaucoma medications for a shorter duration.

Conclusions: Measurement of immediate post-operative IOP may help predict long term IOP trends and may help achieve optimal control of IOP in the post-operative period.