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Temperature monitoring in vitreoretinal surgery
Author(s) -
Anatychuk Lukyan,
Pasyechnikova Nataliya,
Naumenko Volodimir,
Kobylianskyi Roman,
Nazaretyan Rudolf,
Zadorozhnyy Oleg
Publication year - 2021
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/j.1755-3768.20200048
Subject(s) - vitreoretinal surgery , medicine , ophthalmology , hyperthermia , vitrectomy , surgery , diabetic retinopathy , hypothermia , retinopathy , retinal detachment , retinal , anesthesia , diabetes mellitus , visual acuity , endocrinology
Purpose To study the dynamics of epibulbar and intraocular temperature during vitreoretinal surgery. Methods This pilot study included 20 patients with rhegmatogenous retinal detachment (10 eyes) and proliferative diabetic retinopathy (10 eyes). All patients underwent vitreoretinal surgery with room temperature irrigation solution. In all cases, the ambient temperature, the patient's body temperature, the temperature of the irrigating solution, temperature in the anterior, mid‐ and posterior vitreous were recorded during surgery. Pre and post‐operative thermometry was also performed on the outer ocular surface. Results During vitreoretinal surgery with room temperature (24.2 ± 0.52°C) irrigation solution, a decrease in temperature (p < 0.001) versus the initial one was found in all segments of the vitreous cavity. In the absence of continuous irrigation, a rapid rewarming of the vitreous cavity was noted (an average of 0.18°C per minute). Our study also demonstrated the presence of regional hyperthermia of the operated eye in a number of patients (25%) in the post‐operative period. Conclusions Current research shows that vitreoretinal surgery is performed under conditions of uncontrolled local ocular hypothermia is characterized by a rapid uncontrolled rewarming of the vitreous cavity after cessation of cooling, and in the post‐operative period, local hyperthermia of the operated eye is observed in a number of patients.