Open AccessThe Effect of Increased Intraocular Pressure During Steep Trendelenburg Positioning in Robotic Prostatectomy and Hysterectomy on Structural and Functional Ocular Parameters
Author(s) -
Hamdy Awad,
Michael Y. Bai,
Mohamed Ehab Ramadan,
Ahmad Shabsigh,
Floor J. Backes,
Mary Abigail Craven,
Mahmoud AbdelRasoul,
Sergio D. Bergese,
Mark A. Slabaugh
Publication year - 2020
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000004547
Subject(s) - medicine , intraocular pressure , trendelenburg , trendelenburg position , visual acuity , ophthalmology , prostatectomy , prospective cohort study , anesthesia , surgery , prostate cancer , cancer
Robotic prostatectomy and robotic hysterectomy require steep Trendelenburg positioning. Many authors documented significant increases in intraocular pressure (IOP) during steep Trendelenburg. However, the long-term biological effect of a significant increase in IOP on the structural and functional ocular system is unknown. This study examines the effect of a significant increase in IOP on the visual acuity, retinal nerve fiber layer thickness (RNFLT), and ganglion cell complex (GCC) thickness in 52 patients without preexisting ocular disease of both genders before and 3 months after their procedures.