Factors Related to Intraocular Pressure Change among Patients Undergoing Laparoscopic Radical Prostatectomy

Authors

  • ภัทรศญาณัณท์ มูลมั่ง คณะพยาบาลศาสตร์ มหาวิทยาลัยมหิดล
  • นภาพร วาณิชย์กุล คณะพยาบาลศาสตร์ มหาวิทยาลัยมหิดล
  • สุพร ดนัยดุษฎีกุล คณะพยาบาลศาสตร์ มหาวิทยาลัยมหิดล
  • ละอองศรี อัชชะนียะสกุล คณะแพทยศาสตร์ศิริราชพยาบาล มหาวิทยาลัยมหิดล

Keywords:

intraocular pressure, prostatectomy, steep Trendelenburg position, laparoscopic surgery

Abstract

This descriptive correlation study aimed to examine intraocular pressure (IOP) difference between pre and post laparoscopic radical prostatectomy and explore relationships among body mass index, mean arterial pressure, duration of steep Trendelenburg position, end-tidal carbon dioxide, and pre-post-operative difference in intraocular pressure of the surgical patients. A convenient sample consisted of sixty-four patients receiving the surgery at a university hospital in the Bangkok metropolitan area. Preoperative body mass index was measured from same-day weight and height. Mean arterial pressure, duration of the position, and end-tidal carbon dioxide (CO2) were measured during intra-operation. IOP was measured at two discrete time points: pre and post operation. The data were analyzed by Wilcoxon signed rank test and Spearman rank correlation. The results revealed that the pre-post IOP medians were statistically significant difference at p<0.001 (18 and 19 mmHg, quartile range. = 15 - 20 and 17 - 22 mmHg, respectively). Only the duration of the position and mean arterial pressure were significantly positively correlated with the intraocular pressure change at small effect sizes. (rs = 0.24 and 0.16, p < 0.01 and 0.05, respectively).

References

1. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359-86.

2. National Cancer Institute. Hospital-Based cancer registry annual report 2015. Bangkok: Eastern Printing Public Company Limited; 2017.

3. Yu H-y, Hevelone ND, Lipsitz SR, Kowalczyk KJ, Hu JC. Use, Costs and Comparative Effectiveness of Robotic Assisted, Laparoscopic and Open Urological Surgery. The Journal of Urology. 2012;187(4):1392-9.

4. Phutthisaraseth A, Danaidutsadeekul S, Thosingha O, Phinthusophon K. Factors Associated with Quality of Life of Prostate Cancer Patients Following Radical Prostatectomy. Journal of The Royal Thai Army Nurses. 2017;18(3):100-6. (in Thai).

5. Sukhu T, Krupski TL. Patient Positioning and Prevention of Injuries in Patients Undergoing Laparoscopic and Robot-Assisted Urologic Procedures. Current Urology Reports. 2014; 15(4):398.

6. Awad H, Santilli S, Ohr M, Roth A, Yan W, Fernandez S, et al. The Effects of Steep Trendelenburg Positioning on Intraocular Pressure During Robotic Radical Prostatectomy. International Anesthesia Research Society. 2009;109(2):473-8.

7. Bhartiya S, Ichhpujani P. Diurnal Intraocular Pressure Fluctuation in Eyes with Angleclosure. Journal of Current Glaucoma Practice. 2015;9(1):20-3.

8. Hoshikawa Y, Tsutsumi N, Ohkoshi K, Serizawa S, Hamada M, Inagaki K, et al. The effect of steep Trendelenburg positioning on intraocular pressure and visual function during roboticassisted radical prostatectomy. Br J Ophthalmol. 2014;98(3):305-8.

9. Raz O, Boesel TW, Arianayagam M, Lau H, Vass J, Huynh CC, et al. The Effect of the Modified Z Trendelenburg Position on Intraocular Pressure during Robotic Assisted Laparoscopic Radical Prostatectomy: A Randomized, Controlled Study. The Journal of Urology. 2015;193(4): 1213-9.

10. Taketani Y, Mayama C, Suzuki N, Wada A, Oka T, Inamochi K, et al. Transient but Significant Visual Field Defects after Robot-Assisted Laparoscopic Radical Prostatectomy in Deep Trendelenburg Position. PLoS ONE. 2015;10(4):e0123361.

11. Lee L, Posner K, Bruchas R, Roth S, Domino K. Visual loss after prostatectomy Anesthesiology. 2011;115:A1132.

12. Mizumoto K, Gosho M, Iwaki M, Zako M. Ocular parameters before and after steep Trendelenburg positioning for robotic-assisted laparoscopic radical prostatectomy. Clin Ophthalmol. 2017; 11:1643-50.

13. Awad H, Walker CM, Shaikh M, Dimitrova GT, Abaza R, O’Hara J. Anesthetic considerations for robotic prostatectomy: a review of the literature. Journal of Clinical Anesthesia. 2012;24(6):494-504.

14. Blecha S, Harth M, Schlachetzki F, Zeman F, Blecha C, Flora P, et al. Changes in intraocular pressure and optic nerve sheath diameter in patients undergoing robotic-assisted laparoscopic prostatectomy in steep 45 degrees Trendelenburg position. BMC Anesthesiol. 2017;17(1):40.

15. Ruksanit D. Factors Associated with Intra-ocular Pressure Control, Primary Glaucoma Patients at Out Patient Department of Phramongkutklao Hospital. 2015;16(1 ):. Journal of The Royal Thai Army Nurses. 2015;16(1):109-15. (in Thai).

16. Molloy BL. Implications for postoperative visual loss: steep trendelenburg position and effects on intraocular pressure. AANA journal. 2011;79(2):115-21.

17. Neuman B. The Neuman systems model 3ed. Norwalk, CT: Appleton & Lange; 1995.

18. American Cancer Society. Cancer Facts & Figures. Atlanta: American Cancer Society; 2017.

19. Erdfelder E, Faul F, Buchner A, Lang A-G. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavioral Research Method. 2007;39(2):175-91.

20. Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. 9 ed. China: Lippincott Williams & Wilkins; 2012

21. World Health Organization. Physical status: The use and interpretation of anthropometry: Report of a WHO expert committee. 1995. 1-452 p.

22. Tanita. The global leader in precision weighing and BIA body composition equipment; 2011 [cited 15 June 2016]. [Internet].

23. Ametek. Tono-Pen AVIA® Tonometer User’s Guide USA; 2014 [cited 15 June 2016]. [Internet].

24. Philips. IntelliVue Patient Monitor MP20/30, MP40/50, MP60/70/80/90 Release G.0 with Software Revision G.0x.xx [cited 15 June 2016]. [Internet].

25. Gravenstein JS, Jaffe MB, Gravenstein N, Paulus DA. Capanography. 2ed. UK: University of Cambridge; 2011.

26. Medical. D. Vamos/Vamos plus Anesthetic gas monitor. Germany; 2015 [cited 15 June 2016]. [Internet].

27. Loewen NA, Tanna AP. Glaucoma Risk Factors: Intraocular Pressure. 2014:1-22.

28. Deokule S, Weinreb RN. Relationships among systemic blood pressure, intraocular pressure, and open-angle glaucoma. Canadian journal of ophthalmology Journal canadien d’ophtalmologie. 2008;43(3):302-7.

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Published

21-12-2018

How to Cite

1.
มูลมั่ง ภ, วาณิชย์กุล น, ดนัยดุษฎีกุล ส, อัชชะนียะสกุล ล. Factors Related to Intraocular Pressure Change among Patients Undergoing Laparoscopic Radical Prostatectomy. J Royal Thai Army Nurses [Internet]. 2018 Dec. 21 [cited 2024 Mar. 29];19(3):243-52. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/161652

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Research Articles