Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma Patients
| Autor: | Yushi Hayashida, Kaori Ukegawa, Nobufumi Ueda, Hiromi Hirama, Mikio Sugimoto, Yoshiaki Kiuchi, Hiroyuki Tsunemori, Mari Yamasaki, Yuma Sakura, Rikiya Taoka, Kazuyuki Hirooka, Eri Nitta |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Intraocular pressure
medicine.medical_specialty Supine position Laparoscopic radical prostatectomy genetic structures Article Subject medicine.medical_treatment Trendelenburg position Nerve fiber layer Glaucoma 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Ophthalmology Medicine Intubation business.industry medicine.disease eye diseases Visual field medicine.anatomical_structure lcsh:RE1-994 030220 oncology & carcinogenesis 030221 ophthalmology & optometry sense organs business Research Article |
| Zdroj: | Journal of Ophthalmology, Vol 2019 (2019) Journal of Ophthalmology |
| ISSN: | 2090-004X |
| DOI: | 10.1155/2019/6576140 |
| Popis: | Purpose. To investigate the effect of the steep Trendelenburg position surgical procedure on the retinal structure and function during robotic-assisted laparoscopic radical prostatectomy (RALP) in glaucoma patients. Methods. At 1 month and 1 day before and at 1 and 2 months after the RALP operation, 10 glaucoma patients underwent standard automated perimetry and optical coherence tomography. After placing patients in a supine position, intraocular pressure (IOP) was measured at 5 min after intubation under general anesthesia (T1), at 5 discrete time points (5, 30, 60, 120, and 180 min; T2-6) and at 5 min after returning to a horizontal supine position (T7). The Guided Progression Analysis software program was used to assess serial retinal nerve fiber layer (RNFL) thicknesses and visual field progression. Results. Eight additional patients were newly diagnosed in addition to the two previous glaucoma patients. Average IOP (mmHg) at each time point was as follows: T1 = 11.2 ± 3.8, T2 = 19.0 ± 4.4, T3 = 23.3 ± 6.3, T4 = 25.1 ± 4.3, T5 = 25.5 ± 5.1, T6 = 28.3 ± 4.8, and T7 = 22.6 ± 5.4. IOP significantly increased during RALP. RNFL thickness progressed in two eyes of two patients after the surgery, even though there was no progression of the visual field. Conclusions. Two eyes of two patients exhibited significant RNFL thickness progression. Since an increased IOP during the surgery was the probable cause of the changes, ophthalmologic examinations should be performed before and after RALP, especially in glaucoma patients. |
| Databáze: | OpenAIRE |
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