Day 1 postoperative intraocular pressure spike in vitreoretinal surgery (VDOP1).
OBJECTIVE
To classify the clinical characteristics that might identify patients who may not require next-day follow-up following routine vitreoretinal intervention.


METHODS
Prospective case series.


RESULTS
The only statistically significant factors for raised intraocular pressure (IOP) were gas tamponade and preoperative raised IOP. 44.7% (17/38) of patients with preoperative IOP ≥ 20 mmHg had postoperative IOP ≥ 30 mmHg while 8.6% (17/197) of patients with preoperative IOP < 20 mmHg had postoperative IOP ≥ 30 mmHg (p = 0.0001). Phacoemulsification did not increase risk for a postoperative IOP spike. There was a 20-21% risk of postoperative IOP > 30 mmHg for patients with gas tamponade. All patients with no tamponade with IOP > 30 mmHg had preoperative IOP ≥ 20 mmHg.


CONCLUSIONS
Uncomplicated vitreoretinal procedures with preoperative IOP of< 20 mmHg and no gas tamponade are unlikely to have uncontrolled IOP spike at day 1.
Vitreoretinal Service, Guy's and St. Thomas' Hospital NHS Foundation Trust, London, UK. roger.wong@gstt.nhs.uk
Roger
R
Wong
Bhaskar
B
Gupta
Thomas H
TH
Williamson
D Alistair H
DA
Laidlaw
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017679:Cryotherapy; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology*; D011183:Postoperative Complications; D011446:Prospective Studies; D012163:Retinal Detachment / Q000601:surgery; D018570:Risk Assessment; D012591:Scleral Buckling; D012827:Silicone Oils / Q000008:administration & dosage; D013459:Sulfur Hexafluoride / Q000008:administration & dosage; D014821:Vitrectomy; D057586:Vitreoretinal Surgery; D055815:Young Adult
D005466:Fluorocarbons; D012827:Silicone Oils; C042852:perflutren; D013459:Sulfur Hexafluoride