Analysis of Intraocular Pressure after Simultaneous Bilateral Lens Surgery in Hyperopic Patients

Abstract

Objective: To analyze intraocular pressure following simultaneous bilateral lens surgery in hyperopic patients.

Methods: A prospective and analytical case series study was performed, with 108 eyes of 54 patients with bilateral cataract and hyperopia, operated by simultaneous bilateral surgery, at the Cuban Institute of Ophthalmology "Ramón Pando Ferrer", from November 2018 to April 2022. The variables age, gender, nuclear hardness, best visual acuity with and without correction, monocular and binocular, anterior chamber depth and axillary length were analyzed, all related to intraocular pressure.

Results: Percentages and absolute numbers were used to summarize qualitative variables; in the case of quantitative variables, the mean with standard deviation and 95% confidence interval were used. The female gender was the most frequent (57.4 %), the average age was 69.1 ± 8.1 years. The average age was 69.1 ± 8.1 years. 55.11 % of patients had NO3 hardness. Monocular and bilateral best corrected visual acuity improved significantly, there was an endothelial cell loss of 10.19 %. There was no significant association of intraocular pressure with axillary length, anterior chamber depth, refractive sphere, nor lens hardness, which decreased after surgery.

Conclusions: Simultaneous bilateral lens surgery in hyperopic patients significantly contributes to improved vision and decreased postoperative intraocular pressure.