Predictors of ocular hypertension after vitrectomy in the early postoperative period

In vitreoretinal surgery, the problem of increasing intraocular pressure in the early postoperative period remains urgent. This complication occurs despite the constant improvement of surgical techniques and monitoring of patients after interventions. Given the variety of risk factors for ophthalmic hypertension, the study of its causes and their elimination is an urgent problem. Objective. Study the dynamics of the increase in intraocular pressure, determine the factors influencing this indicator and analyze the ways of measuring it. Material and methods. 36 patients (36 eyes) were included in the study. As a medical postoperative support, patients were divided into 2 groups: the first group included 20 eyes receiving instillation of 0.1 % dexamethasone solution in the postoperative period, and the second group included 16 eyes receiving instillation of 0.1 % fluorometholone solution. In addition, the distribution of patients was carried out depending on the agent tamponing the vitreal cavity. Results. A statistically significant difference was revealed between the values of ophthalmotonus using various diagnostic devices the next day after surgery. In the eyes with silicone and gas tamponade in the early postoperative period, there was a significantly more significant increase in IOP compared with tamponade with BSS solution and sterile air. A month after surgical interventions, a faster decrease in IOP was revealed against the background of instillations of 0.1 % fluorometholone solution than in patients who were instilled with 0.1 % dexamethasone solution.