Objective:

To explore the benefits of using lower intraocular pressures (IOP) during cataract surgery, including improved chamber stability, reduced postoperative inflammation, and enhanced patient comfort.

Key Findings:

• Lower infusion pressures are associated with less impact on corneal health and reduced postoperative inflammation, as supported by recent studies.
• Surgical efficiency is maintained or improved at lower IOPs, with no significant differences in postoperative IOP observed between surgeries conducted at low vs high IOP.

Interpretation:

Adopting lower IOPs during cataract surgery may lead to better patient outcomes and reduced intraocular stress; however, further studies are needed to assess long-term effects on optic nerve health and overall patient safety.

Limitations:

• The impact of lower infusion pressures on glaucoma patients remains to be studied, which is critical given the potential risks associated with elevated IOP.
• Long-term effects on retinal and optic nerve physiology are not yet fully understood, necessitating further research.

Conclusion:

Transitioning to lower IOPs in cataract surgery represents a shift towards a more physiologic approach, promising faster recovery and enhanced patient experience while prioritizing patient safety.