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Prospective evaluation of visual function in patients with ocular diseases after robot‐assisted laparoscopic prostatectomy
Author(s) -
Kakutani Shigenori,
Asamoto Masaaki,
Araki Fumiyuki,
Chen YiNing,
Shinokawa Miki,
Okagami Yasuko,
Ohata Takuya,
Taguchi Satoru,
Yamada Yuta,
Takeshima Yuta,
Kume Haruki,
Yamada Yoshitsugu,
Aihara Makoto,
Ito Nobuko,
Fukuhara Hiroshi
Publication year - 2020
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.14183
Subject(s) - medicine , intraocular pressure , prostatectomy , ophthalmology , glaucoma , prospective cohort study , visual field , surgery , prostate cancer , cancer
Objectives To investigate intraocular pressure and visual function in patients with ocular diseases undergoing robot‐assisted laparoscopic prostatectomy. Methods We carried out a prospective clinical study of patients undergoing robot‐assisted laparoscopic prostatectomy for localized prostate cancer at The University of Tokyo Hospital from December 2015 to March 2017. An ophthalmologist measured intraocular pressure, and carried out visual field testing at 0–2 months before and 7 days after robot‐assisted laparoscopic prostatectomy. During the surgery, an anesthesiologist measured intraocular pressure at specified time points. Results A total of 110 patients were enrolled and 98 eligible patients were analyzed; 37 were diagnosed with ocular diseases before robotic‐assisted laparoscopic prostatectomy (17 with glaucoma, 20 with other ocular diseases). Intraocular pressure significantly increased during robot‐assisted laparoscopic prostatectomy. Transient postoperative visual field defect was detected in 24 eyes of 17 patients, including six patients with ocular diseases at 7 days after surgery. At 3 months after surgery, one of 34 glaucomatous eyes and one of 40 eyes with non‐glaucomatous ocular diseases continued to show visual field defect, although visual field defect in the remaining patients recovered to preoperative conditions within 3 months. Conclusions Our findings suggest that robot‐assisted laparoscopic prostatectomy can be safely carried out in patients with ocular diseases, even those with glaucoma, after precautionary consultation with an ophthalmologist.