2M.D. Professor, Kızılay Medical Center, Eye Clinic, Istanbul/TURKEY Purpose: To compare the postoperative intraocular pressure (IOP) changes in cases with sulcus fixtated foldable multipiece hydrophobic acrylic intraocular lens (IOL) implantation because of the posterior capsule perforation during phacoemulsification and with sulcus fixated polymethylmethacrylate (PMMA) IOL implantation.
Material and Methods: 30 eyes of 30 patients with sulcus fixated foldable multipiece hydrophobic acrylic IOL because of the posterior capsule perforation during phacoemulsification were included in this study (Group 1). 31 eyes of 31 patients with sulcus fixated PMMA IOL because of the posterior capsüle perforation during phacoemulsification of the posterior capsule perforation during phacoemulsification (Group 2) After performing anterior vitrectomy to necessary cases, in 30 eyes, a foldable multipiece hydrophobic acrylic IOL and in 30 eyes, a PMMA IOL was implanted in the sulcus in Group 1 and Group 2. The IOP values which has been measured by Golmann applanation tonometry preoperatively, 24th hour, 7th day, 1st month, 3th month and 6th month posptoperatively were compared among two groups.
Results: The preoperative mean IOP values were 17.7±1.7 mmHg in Group 1 ands 17.8±0.8 mmHg in Group 2. There was no statistical significant difference between the mean IOP values of two groups preoperatively (p>0.05). There was no statistical significant difference between the postoperative measured IOP values in Group 1 and 2 (p>0.05). There were no statiscial significant differences in postoperative IOP values between two groups (p>0.05).
Conclusion: In cases which the IOL has to be implanted to the sulcus during phacoemulsifacation surgery, there is no significant change in IOP in early postoperative period.
Keywords : Phacoemulsification, lens implantation, intraocular, intraocular pressure