Open AccessPositioning of a morbidly obese patient during retinal surgery
Author(s) -
Chinmay Nakhwa,
Sonali Verma
Publication year - 2019
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_1951_18
Subject(s) - medicine , supine position , body mass index , obstructive sleep apnea , heart failure , morbidly obese , obesity , diabetes mellitus , blood pressure , sleep apnea , cardiology , type 2 diabetes mellitus , surgery , weight loss , endocrinology
A body mass index (BMI) ≥35 kg/m 2 is classified as obese, and a BMI ≥40 kg/m 2 is classified as morbidly obese. Obese people are at a higher risk for developing cardiovascular complications like ischemic heart diseases, congestive cardiac failure, hypertension, type 2 diabetes mellitus and obstructive sleep apnea (OSA) among other health issues. Central obesity can also increase the pleural pressure and cardiac filling pressures, thus increasing the intracranial (ICP) and intraocular pressure (IOP). These clinical co-morbidities can make retina surgeries, which require patient in supine position for 45-90 minutes, a challenging task. We present our experience in the intraoperative positioning of such a patient who underwent surgery for retinal detachment.