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  5. FP0517 : TITLE – STEROID RESPONSE IN FELLOW EYES OF GLAUCOMA PATIENTS POST PHACOEMULSIFICATION

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Chief & Presenting Author: Dr.Rucha Kacha

Co Author(s): Dr.Ramanjit Sihota

Abstract

PURPOSE To evaluate steroid response in fellow eyes of glaucoma patients undergoing phacoemulsification.
METHODS A longitudinal study of 50 adult glaucoma patients, undergoing phacoemulsification, to record IOP in fellow eyes -preop, postop day 1,7, 1 month and 3 months. Steroid- antibiotic eyedrops were used for 3 weeks in the operated eye, Statistical ananlysis was done.
RESULTS Mean preop IOP increased from 14.43 mmHg to 17.23 mmHg in 3 months postop. Postop, IOP rose by 2.03 mmHg (day 1), 2.49 mmHg (day 7), 2.80 mmHg (1 month), and 3.89 mmHg (3 months). >4 mmHg elevations were seen in 10%, 30%, 20%, and 44% of patients respectively by 3months . By 3 months, 10% experienced >8 mmHg elevation.75% of 41-50-years and 60% of moderate glaucoma(-6db to -12db)cases exhibited >4 mmHg IOP rise.
CONCLUSION Review the fellow eye's IOP for steroid response after phacoemulsification in glaucoma patients. A 4mmHg IOP increase within 3 months could worsen glaucoma.