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First day follow up for routine phacoemulsification?
  1. L Whitefield,
  2. J Crowston and
  3. B C Little
  1. Department of Ophthalmology, Royal Free Hospital, London.

    Abstract

    AIMS: To determine the postoperative morbidity on day 1 after uncomplicated phacoemulsification. METHODS: A prospective study was performed on 100 otherwise healthy eyes after uncomplicated phacoemulsification and lens implant. Patients were examined on the first postoperative day and any deviation from a set postoperative protocol was recorded. RESULTS: Transient intraocular pressure rises of 30 mm Hg or greater were seen in three eyes. These all settled after a single dose of oral acetazolamide 250 mg. CONCLUSIONS: The results of this study reinforce the clinical impression that the need for day 1 routine follow up in this selected group of patients is questionable and probably unnecessary.

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