SavedAdd your journal

Journals / Annals of Medical Research / 2019 / Cilt: 26 - Sayı: 12

Intraocular pressure changes in the intensive care unit: The effect of spontaneous respiration, mechanical ventilation, non-invasive CPAP and medical treatments

Hasan ÖNCÜL
Pages
2758–2762
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

When the patients were evaluated according to their respiration types, there was nostatistically significant difference in IOP values between patients with spontaneous respiration and intubated patients (p=0.261), butnon-invasive CPAP patients were significantly different from patients with spontaneous breathing (p=0.035) and intubated patients(p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The aim of this study was to investigate the intraocular pressure (IOP) changes in patients in intensive care unit (ICU) and theparameters that cause these changes.Material and Methods: In total, 304 eyes of 152 patients were examined.
📊
Key Findings & Data:IOP and central corneal thickness (CCT) were measured.Age, sex, hospitalization (surgical/non-surgical causes), type of ventilation (spontaneous, intubated, non-invasive continuouspositive airway pressure (CPAP), Glasgow coma scale, use of hypertonic solution and sedation status were evaluated.Results: The mean age was 63.52±21.47 (range: 18–96) years, and the male/female ratio was 73/79.
💡
Conclusion & Impact:When the patients were evaluated according to their respiration types, there was nostatistically significant difference in IOP values between patients with spontaneous respiration and intubated patients (p=0.261), butnon-invasive CPAP patients were significantly different from patients with spontaneous breathing (p=0.035) and intubated patients(p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: The aim of this study was to investigate the intraocular pressure (IOP) changes in patients in intensive care unit (ICU) and theparameters that cause these changes.Material and Methods: In total, 304 eyes of 152 patients were examined. IOP and central corneal thickness (CCT) were measured.Age, sex, hospitalization (surgical/non-surgical causes), type of ventilation (spontaneous, intubated, non-invasive continuouspositive airway pressure (CPAP), Glasgow coma scale, use of hypertonic solution and sedation status were evaluated.Results: The mean age was 63.52±21.47 (range: 18–96) years, and the male/female ratio was 73/79. The mean hospitalization timewas 30.91±47.80 (8-297) days, and the mean Glasgow coma scale score was 9.61±4.42. While 33 patients (21.7%) had hypertonicsolution, 28 (18.4%) were sedated. The mean IOP was measured as 13.81±3.58 (6–28) mmHg. In 5 patients, the IOP was more than20 mmHg, and in 14 patients, it was less than 10 mmHg. It was observed that gender and hospitalization diagnosis had no effect onthe IOP change (p=0.97, p=0.814, respectively). When the patients were evaluated according to their respiration types, there was nostatistically significant difference in IOP values between patients with spontaneous respiration and intubated patients (p=0.261), butnon-invasive CPAP patients were significantly different from patients with spontaneous breathing (p=0.035) and intubated patients(p

🔖

Cite This Article

ÖNCÜL, H. (2022). Intraocular pressure changes in the intensive care unit: The effect of spontaneous respiration, mechanical ventilation, non-invasive CPAP and medical treatments. Annals of Medical Research, Cilt: 26 - Sayı: 12, 2758–2762. https://ajindex.com/articles/447157

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (18)

  1. Civan MM, Macknight AD. The ins and outs of aqueous humour secretion. Exp Eye Res 2004;78:3:625-31
  2. Leydhecker W, Akiyama K, Neumann HG. Intraocular pressure in normal human eyes(in German). Klin Monbl Augenheilkd Augenarztl Fortbild 1958;133:662-70
  3. Duke-Elder S.The problems of simple glaucoma.Trans Ophthalmol Soc U K 1962;82:307
  4. Seah SK, Prata JA Jr, Minckler DS, et al. Hypotony following trabeculectomy. J Glaucoma.1995;4:2:73-9
  5. George R, Ve RS, Vijaya L. Glaucoma in India: Estimated burden of disease. J Glaucoma 2010;19:391-7
  6. Thomas M, Vajaranant TS, Aref AA. Hypotony Maculopathy: Clinical Presentation and Therapeutic Methods. Ophthalmol Ther 2015;4:79–88
  7. Leske MC, Connell AM, Wu SY, et al. Distributıon of intraocular pressure. The Barbados Eye Study. Arch Ophthalmology 1997;115:8:1051-57
  8. Bagga H, Liu JH, Weinreb RN. Intraocular pressure measurements throughout the 24 h. Currv Opin Ophthalmology 2009;20:79-83
  9. Toris CB, Yablonski ME, Wang YL, et al. Aqueous humor dynamics in the aging human eye. Am J Ophthalmol 1999;127:407-12
  10. Klein BE, Klein R, Linton KL. Intraocular pressure in an American community. The Beaver Dam Eye Study. Invest Ophthalmol Vis Sci 1992;33:2224-8
  11. Armaly MF. On The dıstrıbutıon of applanatıon pressure. I. Statıstıcal features and the effect of age,sex and famıly history of glaucoma. Arch Ophthalmol. 1965;73:11-18
  12. Fukuoka S, Aihara M,Iwase A, et al. Intraocular pressure ın an ophthalmologically normal Japanese populatıon.Acta Ophthalmology 2008;86:434-39
  13. La Rosa FA, Gross RL, Orengo-Nania S. Central corneal thickness of Caucasians and African Americans in glaucomatous and nonglaucomatous populations. Arch Ophthalmol 2001;119:23-7
  14. Damji KF, Muni RH, Munger RM. Influence of corneal variables on accuracy of intraocular pressure measurement. J Glaucoma 2003;12:69-80
  15. David R, Zangwill L, Briscoe D, et al. Diurnal intraocular pressure variations: an analysis of 690 diurnal curves. Br J Ophthalmology 1992;76:280-3
  16. Spapen HD, D’Haese J, Diltoer M, et al. Bedside evaluation of intraocular pressure in critically ill patients, ventilated at different levels of positive end-expiratory pressure. Acta Anaesthesiol Belg 1993;44:39-43
  17. Pillar A, Jeng BH, Munir WM. Positive End-Expiratory Pressure as a Risk Factor for Severe Positive Vitreous Pressure During Combined Penetrating Keratoplasty and Cataract Extraction. Cornea 2016;35:1491-4
  18. Johnson DS, Crittenden DJ. Intraocula