{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T01:05:33Z","timestamp":1790730333536,"version":"4.1.0"},"reference-count":52,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T00:00:00Z","timestamp":1676937600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Japan Society for the Promotion of Science KAKENHI","award":["22K16967"],"award-info":[{"award-number":["22K16967"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: The purpose of this study was to evaluate the posture-induced intraocular pressure (IOP) changes after iStent inject W combined with phacoemulsification procedure in Japanese patients with open-angle glaucoma. Materials and Methods: We prospectively evaluated the posture-induced IOP changes after surgery. The primary outcome was the posture-induced IOP changes postoperatively. Secondary outcome measures included postoperative complications, visual acuity, visual field, and corneal endothelial cell density. Results: This study completed the prospective observation for 15 eyes (15 patients). The mean preoperative IOP with the Goldmann applanation tonometer was 16.0 \u00b1 2.6 mm Hg with a mean glaucoma medication usage of 2.5 \u00b1 1.2, which decreased to 14.4 \u00b1 2.4 mm Hg (p = 0.14) and 0.5 \u00b1 0.9 medications (p &lt; 0.01), respectively, 12 months postoperatively. The mean baseline IOP with the ICare was 12.0 \u00b1 2.7 mmHg in the sitting position, which significantly increased to 15.2 \u00b1 3.8 mmHg in the lateral decubitus position (p &lt; 0.01). This postural IOP difference was 3.2 \u00b1 2.2 mmHg and 3.2 \u00b1 2.4 mmHg at baseline and 12 months postoperatively, respectively, with no significant changes (p &gt; 0.99). Conclusions: iStent inject W combined with cataract surgery reduced the IOP and the number of glaucoma medications during short-term follow-ups with high safety. However, iStent inject W did not affect the degree of posture-induced IOP changes.<\/jats:p>","DOI":"10.3390\/medicina59030423","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T02:57:38Z","timestamp":1677034658000},"page":"423","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Posture-Induced Intraocular Pressure Changes after iStent Inject W Combined with Phacoemulsification in Open Angle Glaucoma Patients"],"prefix":"10.3390","volume":"59","author":[{"given":"Kentaro","family":"Iwasaki","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui 910-1193, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shogo","family":"Arimura","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui 910-1193, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Orii","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui 910-1193, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0896-996X","authenticated-orcid":false,"given":"Masaru","family":"Inatani","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui 910-1193, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,21]]},"reference":[{"key":"ref_1","first-page":"204","article-title":"The influence of position on intraocular pressure","volume":"12","author":"Anderson","year":"1973","journal-title":"Investig. 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