Influence of cataract and posterior chamber lens implantation on the dynamics of the aqueous humor. Prospective study in fluorophotometry

The influence of posterior chamber lens implantation on the aqueous humor dynamics was investigated using anterior chamber fluorophotometry before and 9 weeks after cataract extraction and IOL implantation. 34 Patients finished the protocol. Patients with preexisting glaucoma or those having a history of ocular or systemic inflammation were excluded from the study, also those taking topical or systemic drugs with potential influence on the aqueous humor dynamics. 9 weeks after IOL implantation, a mean increase in aqueous humor flow was notified. This increase was highly significant (p less than 0.01, Students paired t-test). There were no significant changes in aqueous humor dynamics in the unoperated, fellow eyes which served as controls. The significant difference of aqueous humor flow 9 weeks after cataract extraction and IOL implantation indicates that the liberation of prostaglandins may cause an increase of outflow facility as well as pseudo-facility.