Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma Patients
Purpose. To investigate the effect of the steep Trendelenburg position surgical procedure on the retinal structure and function during robotic-assisted laparoscopic radical prostatectomy (RALP) in glaucoma patients. Methods. At 1 month and 1 day before and at 1 and 2 months after the RALP operation,...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2019/6576140 |
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| author | Kazuyuki Hirooka Kaori Ukegawa Eri Nitta Nobufumi Ueda Yushi Hayashida Hiromi Hirama Rikiya Taoka Yuma Sakura Mari Yamasaki Hiroyuki Tsunemori Mikio Sugimoto Yoshiaki Kiuchi |
| author_facet | Kazuyuki Hirooka Kaori Ukegawa Eri Nitta Nobufumi Ueda Yushi Hayashida Hiromi Hirama Rikiya Taoka Yuma Sakura Mari Yamasaki Hiroyuki Tsunemori Mikio Sugimoto Yoshiaki Kiuchi |
| author_sort | Kazuyuki Hirooka |
| collection | DOAJ |
| description | Purpose. To investigate the effect of the steep Trendelenburg position surgical procedure on the retinal structure and function during robotic-assisted laparoscopic radical prostatectomy (RALP) in glaucoma patients. Methods. At 1 month and 1 day before and at 1 and 2 months after the RALP operation, 10 glaucoma patients underwent standard automated perimetry and optical coherence tomography. After placing patients in a supine position, intraocular pressure (IOP) was measured at 5 min after intubation under general anesthesia (T1), at 5 discrete time points (5, 30, 60, 120, and 180 min; T2-6) and at 5 min after returning to a horizontal supine position (T7). The Guided Progression Analysis software program was used to assess serial retinal nerve fiber layer (RNFL) thicknesses and visual field progression. Results. Eight additional patients were newly diagnosed in addition to the two previous glaucoma patients. Average IOP (mmHg) at each time point was as follows: T1 = 11.2 ± 3.8, T2 = 19.0 ± 4.4, T3 = 23.3 ± 6.3, T4 = 25.1 ± 4.3, T5 = 25.5 ± 5.1, T6 = 28.3 ± 4.8, and T7 = 22.6 ± 5.4. IOP significantly increased during RALP. RNFL thickness progressed in two eyes of two patients after the surgery, even though there was no progression of the visual field. Conclusions. Two eyes of two patients exhibited significant RNFL thickness progression. Since an increased IOP during the surgery was the probable cause of the changes, ophthalmologic examinations should be performed before and after RALP, especially in glaucoma patients. |
| format | Article |
| id | doaj-art-7088203151124198b1d00100b9adfb09 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-7088203151124198b1d00100b9adfb092025-02-03T01:10:06ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/65761406576140Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma PatientsKazuyuki Hirooka0Kaori Ukegawa1Eri Nitta2Nobufumi Ueda3Yushi Hayashida4Hiromi Hirama5Rikiya Taoka6Yuma Sakura7Mari Yamasaki8Hiroyuki Tsunemori9Mikio Sugimoto10Yoshiaki Kiuchi11Department of Ophthalmology and Visual Science, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima 734-8551, JapanDepartment of Ophthalmology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Ophthalmology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Urology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Urology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Urology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Urology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Urology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Urology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Urology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Urology, Kagawa University Faculty of Medicine, Miki, Kagawa 761-0793, JapanDepartment of Ophthalmology and Visual Science, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima 734-8551, JapanPurpose. To investigate the effect of the steep Trendelenburg position surgical procedure on the retinal structure and function during robotic-assisted laparoscopic radical prostatectomy (RALP) in glaucoma patients. Methods. At 1 month and 1 day before and at 1 and 2 months after the RALP operation, 10 glaucoma patients underwent standard automated perimetry and optical coherence tomography. After placing patients in a supine position, intraocular pressure (IOP) was measured at 5 min after intubation under general anesthesia (T1), at 5 discrete time points (5, 30, 60, 120, and 180 min; T2-6) and at 5 min after returning to a horizontal supine position (T7). The Guided Progression Analysis software program was used to assess serial retinal nerve fiber layer (RNFL) thicknesses and visual field progression. Results. Eight additional patients were newly diagnosed in addition to the two previous glaucoma patients. Average IOP (mmHg) at each time point was as follows: T1 = 11.2 ± 3.8, T2 = 19.0 ± 4.4, T3 = 23.3 ± 6.3, T4 = 25.1 ± 4.3, T5 = 25.5 ± 5.1, T6 = 28.3 ± 4.8, and T7 = 22.6 ± 5.4. IOP significantly increased during RALP. RNFL thickness progressed in two eyes of two patients after the surgery, even though there was no progression of the visual field. Conclusions. Two eyes of two patients exhibited significant RNFL thickness progression. Since an increased IOP during the surgery was the probable cause of the changes, ophthalmologic examinations should be performed before and after RALP, especially in glaucoma patients.http://dx.doi.org/10.1155/2019/6576140 |
| spellingShingle | Kazuyuki Hirooka Kaori Ukegawa Eri Nitta Nobufumi Ueda Yushi Hayashida Hiromi Hirama Rikiya Taoka Yuma Sakura Mari Yamasaki Hiroyuki Tsunemori Mikio Sugimoto Yoshiaki Kiuchi Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma Patients Journal of Ophthalmology |
| title | Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma Patients |
| title_full | Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma Patients |
| title_fullStr | Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma Patients |
| title_full_unstemmed | Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma Patients |
| title_short | Retinal Nerve Fiber Layer Thickness Progression after Robotic-Assisted Laparoscopic Radical Prostatectomy in Glaucoma Patients |
| title_sort | retinal nerve fiber layer thickness progression after robotic assisted laparoscopic radical prostatectomy in glaucoma patients |
| url | http://dx.doi.org/10.1155/2019/6576140 |
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