مقايسه تيمولول ، دورزالاميد، پيلوكارپين و استازولاميد خوراكي در پيشگيري از افزايش فشار داخل چشمي بعد از عمل كاتاراكت و لنز داخل چشمي

Effectiveness of Timolol, Dorzolamid, Pilocarpin and Oral Acetazolamid in preventing posoperative Intra ocular pressure spikes after extracapsular cataract extraction with PC IOL implantation

This study was been cunducted to defining the most effective Anti glaucoma drug in controlling IOP after ECCG+PC IOL. One hunderd patients who under gone ECC+PC IOL surgery with GA were divided into 4 case groups (Timolol, Derzolamide, Pilocarpine 2% and oral Acetazolamide) and one control Group . Then IOP was checked pre-up and 3-5,8 and 24 hours after operation with applanation tonometer. In all 10P was compared with control and base line. 10P was 30 mmHg in 4% of cases (one case in control group 24 after surgery and one case in pilocarpine 2% group 8h after opration). The least IOP 3-5 houre was seen in Dorzolamid group (12±2.6 mmhg, P =0) The highest IOP was seen in pdocarpin group 8 hours after surgery in 8 and 24 h after .surgery. Timolol was the most effective drug on post -op IOP (14.2 ±3 mmHg & 11.3 ±2.8 mmHg respectively). We found a significant early IOP reduction. with. Tiomolol , dorozolamid and oral Acatazolamide bin Timolol and dorazolamide were more effective . Pilocarpine 2% was Not-effective.