Measurement of ophthalmodynamometric pressure with the vented-gas forced-infusion system during pars plana vitrectomy.

نویسندگان

  • Fumiki Okamoto
  • Yoshimi Sugiura
  • Yoshifumi Okamoto
  • Yumi Hasegawa
  • Takahiro Hiraoka
  • Tetsuro Oshika
چکیده

PURPOSE To measure ophthalmodynamometric pressure (ODP) with the vented-gas forced-infusion (VGFI) system during vitrectomy in patients with various vitreoretinal disorders and to investigate factors related to ODP. METHODS This study included 169 eyes of 169 patients undergoing pars plana vitrectomy. After core vitrectomy, the intraocular pressure was gradually raised by using the VGFI system. When the central retinal artery or its branches on the optic nerve head showed pulsations, the pressure was recorded as ODP. Diastolic blood pressure (DBP) and systolic blood pressure (SBP) were measured simultaneously with ODP. Multiple regression analysis was performed to investigate the relationship between ODP and various explanatory variables: DBP, SBP, age, presence of diabetic mellitus (DM) and hypertension (HT), body mass index, and serum total cholesterol. RESULTS ODP was 66.9 +/- 12.5 mm Hg (range, 15.5-103.7), and it correlated significantly with DBP (r = 0.60, P < 0.0001) but not with SBP (r = 0.12, P = 0.12). ODP in DM patients who had proliferative diabetic retinopathy and diabetic macular edema was lower than that in non-DM patients, whereas DBP was not significantly different between the two groups. Similar results were obtained in HT patients. Multiple regression analysis revealed that ODP had a significant correlation with DBP (P < 0.0001), presence of DM (P = 0.02), and presence of HT (P = 0.03). CONCLUSIONS VGFI is a new method of determining ODP. ODP was significantly associated with DBP and was lower in patients with DM and HT.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Behaviour of the Intraocular Pressure during Manual and Vented Gas Forced Infusion in a Simulated Pars Plana Vitrectomy

The purpose of the present is to measure and to compare the intraocular pressure (IOP) during manual and mechanical Perfluorodecalin (PFD) injection in 23 and 25-Gauge(G) simulated pars plana vitrectomy using a StellarisPC® vitrectomy system. A human eye model was developed and IOP recorded during infusion of PFD using three sensors, two located at the equator and one in an area corresponding t...

متن کامل

Bilateral subcutaneous emphysema from pressurized infusion during pars plana vitrectomy: a case report.

OBJECTIVES To report a case of extensive subcutaneous emphysema introduced during vitrectomy while using an advanced feedback-controlled pressurized infusion system. METHODS Clinical case report of a 56-year-old woman undergoing pars plana vitrectomy for rhegmatogenous retinal detachment of the left eye. The clinical and radiologic findings of the patient's eyes were documented. The mechanism...

متن کامل

Use of 25% sulfur hexafluoride gas mixture may minimize short-term postoperative hypotony in sutureless 25-gauge pars plana vitrectomy surgery

BACKGROUND The purpose of this study was to compare postoperative intraocular pressures and percentage of vitreous cavity gas fill one day following 25-gauge pars plana vitrectomy with 20% versus 25% sulfur hexafluoride (SF6) gas fill. METHODS This was a retrospective review of 187 consecutive cases of 25-gauge pars plana vitrectomy with complete fluid/gas exchange. The main outcome measures ...

متن کامل

High-frequency ultrasound biomicroscopy of the anterior segment morphometry before and immediately after pars plana vitrectomy.

PURPOSE To characterize short-term changes induced by pars plana vitrectomy on anterior segment depth and lens thickness by means of high-frequency ultrasound biomicroscopy. METHODS We undertook a prospective case series study on consecutive patients referred for pars plana vitrectomy as the sole procedure in our institution between 2005 and 2007. Twenty-eight eyes of 28 patients undergoing p...

متن کامل

Posterior Subtenon Triamcinolone Acetonide in Gas-filled Eyes as an Adjunctive Treatment for Complicated Proliferative Diabetic Retinopathy

PURPOSE To evaluate the effect of adjunctive subtenon injection of triamcinolone acetonide (TA) in gas-filled eyes after vitrectomy for complicated proliferative diabetic retinopathy (PDR). METHODS This nonrandomized comparative study included 27 patients (27 eyes) who underwent pars plana vitrectomy and gas tamponade for treatment of PDR with tractional or combined tractional-rhegmatogenous ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Investigative ophthalmology & visual science

دوره 51 8  شماره 

صفحات  -

تاریخ انتشار 2010