Zhu X, Qi J, He W, et al. - In this investigation involving consecutive patients treated with phacoemulsification, researchers examined the incidence of the early transient intraocular pressure (IOP) spike after cataract surgery in eyes with highly myopic cataract (HMC) and associated risk factors. Before and 1 day, 3 days, 1 week and 3 months after surgery, IOP was measured. The sample consisted of 94 eyes of 94 HMC patients and 67 eyes of 67 age-related cataract (ARC) controls. Data reported that early IOP spike incidence was 10% in the ARC group and 28% in the HMC group at 1 day after surgery. The authors discovered that highly myopic eyes are more susceptible to early transient IOP spike following cataract surgery, and associated risk factors are male gender, longer axial length, shallower anterior chamber depth, and higher beta-zone peripapillary atrophy.