Premium
Reduction of intraocular pressure after bariatric surgery
Author(s) -
BurganskyEliash Zvia,
Achiron Asaf,
Hecht Idan,
Shimonov Mordechai
Publication year - 2018
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/aos.13722
Subject(s) - medicine , intraocular pressure , body mass index , sleeve gastrectomy , weight loss , surgery , cohort , ophthalmology , prospective cohort study , obesity , gastric bypass
Purpose To investigate the effects of bariatric surgery on intraocular pressure ( IOP ). Methods We prospectively enroled consecutive obese patients who underwent a laparoscopic sleeve gastrectomy procedure. We measured IOP prior to and 3–6 months following surgery and recorded medical and demographical parameters. Results Thirty‐two patients completed all evaluations. Mean age was 40.5 ± 12 and 24 (75%) were men. Following surgery, mean body‐mass index ( BMI ) decreased from 42 ± 6 to 31 ± 8 (p < 0.001). The mean IOP decreased from 16.9 ± 4 mmHg to 14.1 ± 3 mmHg (p < 0.001). The extent of IOP reduction was correlated with the baseline IOP (Pearson r = 0.737, p < 0.001) and central corneal thickness (Pearson r = 0.453, p = 0.010). Conclusion In a cohort of obese individuals undergoing sleeve gastrectomy, there was a significant decrease in IOP measured 3–6 months after the procedure. Our results suggest that significant weight loss could have beneficial effects on IOP in obese individuals with ocular hypertension which might enable avoidance of antiglaucoma medications. The high likelihood of a reduction in IOP should be taken into account when considering bariatric surgery in such patients.