Prospective evaluation of visual function in patients with ocular diseases after robot-assisted laparoscopic prostatectomy.
eye disease
glaucoma
prostatectomy
robotic
visual field
Journal
International journal of urology : official journal of the Japanese Urological Association
ISSN: 1442-2042
Titre abrégé: Int J Urol
Pays: Australia
ID NLM: 9440237
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
10
05
2019
accepted:
19
12
2019
pubmed:
13
2
2020
medline:
28
4
2021
entrez:
13
2
2020
Statut:
ppublish
Résumé
To investigate intraocular pressure and visual function in patients with ocular diseases undergoing robot-assisted laparoscopic prostatectomy. We carried out a prospective clinical study of patients undergoing robot-assisted laparoscopic prostatectomy for localized prostate cancer at The University of Tokyo Hospital from December 2015 to March 2017. An ophthalmologist measured intraocular pressure, and carried out visual field testing at 0-2 months before and 7 days after robot-assisted laparoscopic prostatectomy. During the surgery, an anesthesiologist measured intraocular pressure at specified time points. A total of 110 patients were enrolled and 98 eligible patients were analyzed; 37 were diagnosed with ocular diseases before robotic-assisted laparoscopic prostatectomy (17 with glaucoma, 20 with other ocular diseases). Intraocular pressure significantly increased during robot-assisted laparoscopic prostatectomy. Transient postoperative visual field defect was detected in 24 eyes of 17 patients, including six patients with ocular diseases at 7 days after surgery. At 3 months after surgery, one of 34 glaucomatous eyes and one of 40 eyes with non-glaucomatous ocular diseases continued to show visual field defect, although visual field defect in the remaining patients recovered to preoperative conditions within 3 months. Our findings suggest that robot-assisted laparoscopic prostatectomy can be safely carried out in patients with ocular diseases, even those with glaucoma, after precautionary consultation with an ophthalmologist.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
307-312Subventions
Organisme : Ministry of Education, Science, Sports and Culture of Japan
ID : 16K15674
Informations de copyright
© 2020 The Japanese Urological Association.
Références
Awad H, Walker CM, Shaikh M, Dimitrova GT, Abaza R, O’Hara J. Anesthetic considerations for robotic prostatectomy: a review of the literature. J. Clin. Anesth. 2012; 24: 494-504.
Kan KM, Brown SE, Gainsburg DM. Ocular complications in robotic-assisted prostatectomy: a review of pathophysiology and prevention. Minerva Anestesiol. 2015; 81: 557-66.
Gkegkes ID, Karydis A, Tyritzis SI, Iavazzo C. Ocular complications in robotic surgery. Int. J. Med. Robot. 2015; 11: 269-74.
Olympio MA. Postoperative visual loss after robotic pelvic surgery. BJU Int. 2013; 112: 1060-1.
Hoshikawa Y, Tsutsumi N, Ohkoshi K et al. The effect of steep Trendelenburg positioning on itracular pressure and visual function during robotic-assisted radical prostatectomy. Br. J. Opthalmol. 2014; 98: 305-8.
Taketani Y, Mayama C, Suzuki N et al. Transient but significant visual field defects after robot-assisted laparoscopic radical prostatectomy in deep Trendelenburg position. PLoS One 2015; 10: e0123361.
Raz O, Boesel TW, Arianayagam M et al. The effect of the modified Z Trendelenburg position on intraocular pressure during robotic assisted laparoscopic radical prostatectomy: a randomized, controlled study. J. Urol. 2015; 193: 1213-9.
Mondzelewski TJ, Schmitz JW, Christman MS et al. Intraocular pressure during robotic-assisted laparoscopic procedures utilizing steep Trendelenburg positioning. J. Glaucoma 2015; 24: 399-404.
Yoo YC, Kim NY, Shin S et al. The intraocular pressure under deep versus moderate neuromuscular blockade during low-pressure robot assisted laparoscopic radical prostatectomy in randomized trial. PLoS One 2015; 10: e0135412.
Kim NY, Yoo YC, Park H et al. The effect of dexmedetomidine on intraocular pressure in patients during robot-assisted laparoscopic radical prostatectomy in the steep Trendelenburg position. J. Endourol. 2015; 29: 310-6.
Ece I, Vatansev C, Kucukkartallar T, Tekin A, Kartal A, Okka M. The increase of intra-abdominal pressure can affect intraocular pressure. Biomed Res. Int. 2015; 2015: 986895.
Ozcan MF, Akbulut Z, Gurdal C et al. Does steep Trendelenburg positioning effect the ocular hemodynamics and intraocular pressure in patients undergoing robotic cystectomy and robotic prostatectomy? Int. Urol. Nephrol. 2017; 49: 55-60.
Blecha S, Harth M, Schlachetzki F et al. Changes in intraocular pressure and optic nerve sheath diameter in patients undergoing robotic-assisted laparoscopic prostatectomy in steep 45º Trendelenburg position. BMC Anesthesiol. 2017; 17: 40.
Lee M, Dallas R, Daniel C, Cotter F. Intraoperative management of increased intraocular pressure in a patient with glaucoma undergoing robotic prostatectomy in the Trendelenburg position. A&A Case Rep. 2016; 6: 19-21.
Costa VP, Harris A, Anderson D et al. Ocular perfusion pressure in glaucoma. Acta Ophthalmol. 2014; 92: e252-66.
Awad H, Malik OS, Cloud AR, Weber PA. Images in anesthesiology: robotic surgeries in patients with advanced glaucoma. Anesthesiology 2013; 119: 954.
Chauhan BC, Garway-Heath DF, Goni FJ et al. Practical recommendations for measuring rates of visual field change in glaucoma. Br. J. Ophthalmol. 2008; 92: 569-73.
Collaborative Normal-Tension Glaucoma Study Group. The effectiveness of intraocular pressure reduction in the treatment of normal-tension glaucoma. Am. J. Ophthalmol. 1998; 126: 498-505.
Ackerman RS, Cohen JB, Getting REG, Patel SY. Are you seeing this: the impact of steep Trendelenburg position during robot-assisted laparoscopic radical prostatectomy on intraocular pressure: a brief review of the literature. J. Robot. Surg. 2018; https://doi.org/10.1007/s11701-01-018-0857-7.
Awad H, Santilli S, Ohr M et al. The effects of steep Trendelenburg positioning on intraocular pressure during robotic radical prostatectomy. Anesth. Analg. 2009; 109: 473-8.
Weber ED, Colyer MH, Lesser RL, Subramanian PS. Posterior ischemic optic neuropathy after minimally invasive prostatectomy. J. Neuroophthalmol. 2007; 27: 285-7.
Lee LA, Posner KL, Bruchas R. Visual loss after prostatectomy. Anesthesiology 2011; 115: A1132.
Yoo YC, Shin S, Choi EK et al. Increase in intraocular pressure is less with propofol than with sevoflurane during laparoscopic surgery in steep Trendelenburg position. Can. J. Anaesth. 2014; 61: 322-9.
Kaur G, Sharma M, Kalra P, Purohit S, Chauhan K. Intraocular pressure changes during laparoscopic surgery in Trendelenburg position in patients anesthetized with propofol-based total intravenous anesthesia compared to sevoflurane anesthesia: a comparative study. Anesth. Essays Res. 2018; 12: 67-72.