The Increase of Intra-Abdominal Pressure Can Affect Intraocular Pressure

Objective. This study aims to explore the usage of intraocular pressure measurements as the early indicator of the increase in intra-abdominal pressure. Methods. In this prospective study, 40 patients undergoing elective surgery were included. Patients were divided into four groups of 10 patients. T...

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Bibliographic Details
Published in:BioMed research international 2015-01, Vol.2015 (2015), p.1-4
Main Authors: Kartal, Adil, Tekin, Ahmet, Kucukkartallar, Tevfik, Vatansev, Celalettin, Ece, Ilhan, Okka, Mehmet
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Cavity - physiology
Abdominal Cavity - surgery
Adult
Anesthesia
Blood pressure
Body mass index
Cholecystectomy
Clinical Study
Complications and side effects
Female
Hernias
Humans
Hypertension
Intraocular pressure
Intraocular Pressure - physiology
Intubation
Laparoscopy
Laparoscopy - methods
Male
Medical personnel
Middle Aged
Ophthalmology
Physiological aspects
Prospective Studies
Surgery
Tonometry, Ocular - methods
Ventilators
Young Adult
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Summary:Objective. This study aims to explore the usage of intraocular pressure measurements as the early indicator of the increase in intra-abdominal pressure. Methods. In this prospective study, 40 patients undergoing elective surgery were included. Patients were divided into four groups of 10 patients. The control group (Group C) was not subjected to laparoscopic intervention. Laparoscopic surgery was, respectively, performed with an intra-abdominal pressure of 9, 12, and 15 mmHg in Groups L (low), M (medium), and H (high pressure). Intraocular pressure was measured binocularly in each patient at three different times (before, during, and end of surgery) using a contact tonometer. Results. Patients’ gender, age, body mass index (BMI), American Society of Anesthesiology (ASA) class, and operative times were not different among the groups. No complications occurred with either the surgery or measurement of intraocular pressure. Intubation was associated with a severe rise in IOP ( P < 0.05 ) . An increase in intraocular pressure was seen in groups M and H ( P < 0.05 ) . Conclusion. Intraocular pressure was increased in the groups with an intra-abdominal pressure of 12 mmHg or more. Measuring the intraocular pressure might be a useful method to estimate the intra-abdominal pressure. This trial is registered with NCT02319213.
ISSN:2314-6133
2314-6141
DOI:10.1155/2015/986895