Treatment of Associated Raised Tension in Cataract Surgery

Cataract surgery is a common and effective procedure for restoring vision in patients with cataracts. However, in some cases, the surgery may be complicated by raised intraocular pressure (IOP), also known as glaucoma. This can occur as a result of various factors, including damage to the trabecular meshwork or inflammation. In this article, we will discuss the treatment options for raised tension associated with cataract surgery.

Preoperative Management

  1. Medical therapy: Prior to surgery, patients with raised IOP may be treated with medications such as prostaglandin analogs, beta blockers, or carbonic anhydrase inhibitors to lower IOP.
  2. Laser therapy: In some cases, laser therapy such as laser trabeculoplasty may be used to improve aqueous outflow and lower IOP.

Intraoperative Management

  1. Maintaining a stable IOP: During surgery, it is important to maintain a stable IOP to reduce the risk of complications. This can be achieved by using techniques such as a pressure-balanced irrigation/aspiration system or viscoelastic substance.
  2. Avoiding manipulation of the iris: Manipulation of the iris, such as during iris hooks, can increase IOP and should be avoided.

Postoperative Management

  1. Medications: After surgery, patients may be prescribed medications to lower IOP and prevent postoperative complications.
  2. Close monitoring: Close monitoring of IOP is important in the postoperative period to detect and manage any elevation in IOP.
  3. Surgery: In some cases, additional surgery such as trabeculectomy may be required to lower IOP.
  4. Laser therapy: In some cases, laser therapy such as laser trabeculoplasty or cyclophotocoagulation may be used to lower IOP.
  5. Combination therapy: Combination therapy, such as a combination of medications and laser therapy, may be used to achieve optimal IOP control.

In conclusion, raised tension associated with cataract surgery can occur as a result of various factors and it’s important to be vigilant and manage it properly. Preoperative management includes medical therapy and laser therapy. Intraoperative management includes maintaining a stable IOP and avoiding manipulation of the iris. Postoperative management includes medications, close monitoring, surgery, laser therapy and combination therapy. The management strategy will depend on the underlying cause and the severity of the raised tension, the goal is to lower IOP and prevent postoperative complications.

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