Impact of different intraocular pressures during cataract surgery on retinal perfusion in eyes with diabetic retinopathy: randomized clinical trial.
Shail Vasavada, Shyamal Dwivedi, Vaishali Vasavada et al.
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In 30 seconds
This randomized clinical trial investigated the effects of low (20 mm Hg) versus high (55 mm Hg) intraocular pressure during cataract surgery on retinal perfusion in patients with nonproliferative diabetic retinopathy. The study found that central retinal vessel density significantly increased in the low IOP group at 1 week and 1 month postoperatively, suggesting improved retinal perfusion.
Key findings
- Central retinal vessel density significantly increased in the low IOP group at 1 week and 1 month postoperatively.
- Flux Index improved significantly in the low IOP group at each follow-up visit.
- Postoperative intraocular pressure was comparable between groups, with a trend toward higher levels in the high IOP group.
Why it matters
Understanding the impact of intraocular pressure during cataract surgery on retinal perfusion is crucial for optimizing surgical outcomes in patients with diabetic retinopathy, potentially reducing the risk of postoperative complications.