Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 68  |  Issue : 5  |  Page : 812--817

Incidence and risk factors for intraocular pressure rise after transconjunctival vitrectomy


Gopal S Pillai1, Rebecca Varkey2, UG Unnikrishnan3, Natasha Radhakrishnan4 
1 Department of Ophthalmology and Chief of Vitreo Retinal Services, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Cochin, Kerala, India
2 Department of Ophthalmology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Tiruvalla, Kerala, India
3 Department of Biostatistics, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Thrissur, Kerala, India
4 Department of Retina, Amrita University, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham University, Kochi, Kerala, India

Correspondence Address:
Dr. Rebecca Varkey
Ambrayil Kudumbathu, Near Medical Mission Hospital, Tiruvalla, Kerala
India

Purpose: To study the incidence and risk factors of raised intraocular pressures (IOPs) in the follow-up of transconjunctival sutureless vitrectomy (TSV). Methods: A retrospective observational study was performed on 635 patients who underwent TSV under a single surgeon. The IOPs were recorded using a calibrated non-contact tonometer at seven postoperative visits, viz., day 1, 7 and 1, 3, 6 months, and 1 day and 1 month following silicone oil removal. Results: IOP rise was seen in 24.25% (154) out of the 635 eyes studied. Among patients under 50 years of age, 37.73% had an IOP rise, compared to 21.55% above 50 years (Odds Ratio 2.206). Among males, 30.32% had an IOP rise, as compared to 15.98% females (OR 2.287). In eyes with retinal detachment, 49.16% had raised IOP (OR 5.435), and 24.05% with proliferative diabetic retinopathy (OR 1.780), as opposed to 15.38% with macular hole and 12.32% with epiretinal membrane. This was statistically significant (P < 0.001). In eyes with silicone oil, 34.9% developed a rise in IOP (OR 2.738) as compared to 11.94% of other surgeries (OR 0.697). This was statistically significant (P < 0.001). Conclusion: We observed an increase in IOP postoperatively, more in those under 50 years, males and patients undergoing surgery for RD and PDR.


How to cite this article:
Pillai GS, Varkey R, Unnikrishnan U G, Radhakrishnan N. Incidence and risk factors for intraocular pressure rise after transconjunctival vitrectomy.Indian J Ophthalmol 2020;68:812-817


How to cite this URL:
Pillai GS, Varkey R, Unnikrishnan U G, Radhakrishnan N. Incidence and risk factors for intraocular pressure rise after transconjunctival vitrectomy. Indian J Ophthalmol [serial online] 2020 [cited 2024 Mar 28 ];68:812-817
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2020;volume=68;issue=5;spage=812;epage=817;aulast=Pillai;type=0