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Patient with elevated intra-ocular pressure (IOP) 3 hours after cataract surgery with headache and nausea, showing immediate reduction of intra-ocular pressure and pain/nausea after anterior chamber decompression using 25 g needle to open paracentesis incision. Before this procedure the patient had pre-op preparation with 5% betadine and tetracaine. Elevated intra-ocular pressure is common (18-45% of patients) in the first 24 hours after cataract surgery, reaching a peak IOPs 8-12 hours after surgery. However most intraocular pressures return to baseline within 24 hours. Treatment for markedly elevated intra-ocular pressure with pain and nausea are treated with anterior chamber decompression, that brings about immediate relief. This is followed by 2-3 day treatment with aqueous suppressant and prostaglandin eye drops for 72 hours. If IOP is only mildly elevated without pain, it is treated medically first with anti-hypertensive and drops and/or oral diamox. Offices in: Seguin, San Antonio, New Braunfels, Luling, Gonzales and Hondo. 830-379-3937. www.eyeassociatesofsouthtexas.com or www.eyestx.com Dr. Kavanagh is a board certified ophthalmologist and clinical assistant professor at University of Texas Health Science Center in San Antonio Texas, where he has taught many residents cataract and glaucoma surgery. Dr. Kavanagh has performed over 10,000 cataract procedures with intraocular lens implantation. He implants: Restor, Technis Multi Focal (MF), Crystalens, Toric IOLs.