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2009 | 4 | 1 | 84-90
Tytuł artykułu

Comparision of the effects of subtenon’s and subconjunctival anesthesia on retroorbital hemodynamics

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to compare retroorbital blood flow hemodynamics between subconjunctival and sub-Tenon’s anesthesia. This was a prospective, blinded study and included 80 cases. Patients were monitored and treated in the First Ophthalmology Clinic, Ataturk Training and Research Hospital, Turkey. Sub-Tenon’s anesthesia was performed in 42 cases, and subconjunctival anesthesia was performed in 38 cases. Color Doppler imaging to measure ocular blood flow parameters was performed preoperatively and 21 days after cataract operation in each case. Preoperative and postoperative values of resistivity and pulsatility indices in the ophthalmic, central retinal, and short posterior ciliary arteries were compared. Postoperative mean blood flow velocity measurements of ophthalmic artery were not statistically different between the subconjunctival anesthesia group and the sub-Tenon’s anesthesia group (49.63 ± 14.00 vs. 45.85 ± 13.41; P=0.389). Postoperative RI values were higher in the Subtenon’s anesthesia group than in the subconjunctival anesthesia group, but the difference between two groups was not statistically significant (0.81 ± 0.14 vs. 0.74 ± 0.08; P=0.079). The postoperative pulsatility index of the ophthalmic artery, RI of ophthalmic artery, pulsatility index of the central retinal artery, RI of the central retinal artery, and pulsatility index of the posterior ciliary arteries were not significantly different between the subconjunctival and sub-Tenon’s anesthesia groups. In conclusion, the study suggests that postoperative retroorbital blood flow hemodynamics are the same following sub-Tenon’s and subconjunctival anesthesia.
Wydawca
Czasopismo
Rocznik
Tom
4
Numer
1
Strony
84-90
Opis fizyczny
Daty
wydano
2009-03-01
online
2009-02-11
Twórcy
autor
  • First Ophthalmology Clinic, Bilkent, Ataturk Training and Research Hospital, 06800, Ankara, Turkey , hbcakmak@gmail.com
  • First Ophthalmology Clinic, Bilkent, Ataturk Training and Research Hospital, 06800, Ankara, Turkey
  • First Ophthalmology Clinic, Bilkent, Ataturk Training and Research Hospital, 06800, Ankara, Turkey
autor
  • Radiodiagnostic Department, Bilkent, Ataturk Training and Research Hospital, 06800, Ankara, Turkey
autor
  • Radiodiagnostic Department, Bilkent, Ataturk Training and Research Hospital, 06800, Ankara, Turkey
autor
  • First Ophthalmology Clinic, Bilkent, Ataturk Training and Research Hospital, 06800, Ankara, Turkey
Bibliografia
  • [1] Carol F.D., Optic nerve compression of cataract extraction, Trans. Am. Acad. Ophthalmol. Otolaryngol., 1973, 77, 623–629
  • [2] Hayreh S.S., Anterior ischemic optic neuropathy IV. Occurence after cataract extraction, Arch. Ophthalmol., 1980, 98, 1410–1416
  • [3] Ruspecht K.W., Naumann G.O.H., Uni- und bilaterale ischemische Papilleninfarkte nach Katarakt-Ekstraktion, Fartschr. Ophthalmol. 1985, 82, 349–352
  • [4] Stevens J.D., A new local anesthesia technique for cataract extraction by one quadrant sub-Tenon’s infiltration, Br. J. Ophthalmol., 1992, 76, 670–4 http://dx.doi.org/10.1136/bjo.76.11.670[Crossref]
  • [5] Hulbert M.F., Yang Y.C., Pennefather P.M., et al., Pulasatile ocular blood flow and intraocular injection of lignocaine: influence of additives, J. Glaucoma, 1998, 7, 413–416 http://dx.doi.org/10.1097/00061198-199812000-00010[Crossref]
  • [6] Coupland S.G., Deschenes M.C., Hamilton R.C., Impairement of ocular blood flow during regional orbital anesthesia, Can. J. Ophthalmol., 2001, 36, 140–144 [Crossref]
  • [7] Huber K.K., Remky A., Effect of retroorbital versus subconjunctival anesthesia on retroorbital hemodynamics, Br. J. Ophthalmol., 2005, 89, 719–723 http://dx.doi.org/10.1136/bjo.2004.047282[Crossref]
  • [8] Plange N., Remky A., Arend O., Color doppler imaging and flourescein filling defects of the optic disc in normal tension glaucoma, Br. J. Ophthalmol., 2003, 87, 731–736 http://dx.doi.org/10.1136/bjo.87.6.731[Crossref]
  • [9] Williamson T.H., Harris A., Color doppler ultrasound imaging of the eye and orbit, Surv. Ophthalmol., 1996, 40, 255–267 http://dx.doi.org/10.1016/S0039-6257(96)82001-7[Crossref]
  • [10] Evans D.W., Harris A., Garrett M., Chung H.S., Kagemann L., Glaucoma patients demonstrate faulty autoregulation of ocular blood flow during posture change, Br. J. Ophthalmol., 1999, 83, 809–813 http://dx.doi.org/10.1136/bjo.83.7.809[Crossref]
  • [11] Lieb W.E., Color doppler imaging of the eye and orbit, Radiol. Clin. North. Am., 1998, 36, 1059–1071 http://dx.doi.org/10.1016/S0033-8389(05)70231-1[Crossref]
  • [12] Rich W.J., James M.L., Cataract surgery and vascular changes in the eye, Acta. Ophthalmol., 1989, 191, 39–42
  • [13] Hessemer V., Wieth K., Heinrich A., Jacobi K.W., Veranderungen der uvealen und retinalen Hamodynamik durch Retroorbitalanasthesie mit unterschiedlichen Injektionsvolumen. Fortschr Ophthalmol 1989;86:760–766
  • [14] Hessemer V., Anasthesie-Effekte auf den okularen Kreislauf; Synopsis einer Studie, Fortschr. Ophthalmol., 1991, 88, 577–587
  • [15] Yuksel N., Karabas V.L., Karabas Arslan A., Demirci A., Caglar Y., Ocular Hemodynamics in pseudoexfoliation syndrome and pseudoexfoliation glaucoma, Ophthalmology, 2001, 108, 1043–1049 http://dx.doi.org/10.1016/S0161-6420(01)00572-3[Crossref]
  • [16] Meyer P., Flammer J., Luscher T.F., Local anesthetic drugs reduce endothelium-dependent relaxations of porcine ciliary arteries, Invest. Ophthalmol. Visual Science, 1993, 34, 2730–2736
  • [17] Hessemer V., Wieth K., Heinrich A., Jakobi K.W., Veranderungen der uvealen und retinalen hamodynamik durch retroorbitalanasthesie mit unterschiedlichen injectionsvolumen. Fortschr. Ophthalmol., 1989, 86, 760–766
  • [18] Schaffer J., Biscoping J., Werry H., Morche F., Piepenbrock S., Local anesthetic level and cardiovascular changes following local anesthesia in cataract operations with 3% mepivacaine, Fortschr. Ophthalmol., 1989, 86, 319–322
  • [19] Chang B.Y., Hee W.C., Ling R., Broadway D.C., Beigi B., Local anaesthetic techniques and pulsatile ocular blood flow, Br. J. Ophthalmol., 2000, 84, 260–1263 http://dx.doi.org/10.1136/bjo.84.11.1260[Crossref]
  • [20] Belluci R., Morselli S., Pucci V., Zordan R., Magnolfi G., Intraocular penetration of topical lidocaine 4%, J. Cataract. Refract. Surg., 1999, 25, 642–647
  • [21] Grieshaber M.C., Kocak I., Dubler B., Flammer J., Orgul S., Retroorbital blood flow in cataract, Br. J. Ophthalmol., 2006, 90, 1512–5 http://dx.doi.org/10.1136/bjo.2006.101261[Crossref]
  • [22] Spraul C.W., Amann J., Lang G.E., Lang G.K., Effect of cataract extraction with intraocular lens implantation on ocular hemodynamics, J. Cataract. Refract. Surg., 1996, 22, 1091–1096 [PubMed]
  • [23] Bomer T.G., Lagreze W.D.A., Funk J., Intraocular pressure rise after phacoemulsification with posterior chamber lens implantation: effect of prophylactic medication, wound closure, and surgeon’s experience, Br. J. Ophthalmol., 1995, 79, 809–813 http://dx.doi.org/10.1136/bjo.79.9.809[Crossref]
  • [24] Kohnen T., von Ehr M., Schutte E., Koch D.D., Evaluation of intraocular pressure with Healon and Healon GV in sutureless cataract surgery with foldable lens implantation, J. Cataract. Refract. Surg., 1996, 22, 227–237
  • [25] Wedrich A., Menapace R., Intraocular pressure following small-incision cataract surgery and polyHEMA posterior chamber lens implantation; a comparison between acetylcholine and carbachol, J. Cataract. Refract. Surg., 1992, 18, 500–505
  • [26] Findl O., Strenn K., Wolzt M., Menapace R., Vass C., Eichler H.G,, et al., Effects of changes in intraocular pressure on human ocular hemodynamics, Curr. Eye. Res., 1997, 16, 1024–1029 http://dx.doi.org/10.1076/ceyr.16.10.1024.9024[Crossref]
  • [27] Riva C.E., Titze P., Hero M., Petrig B.L., Effect of acute decreases of perfusion pressure on choroidal blood flow in humans, Invest. Ophthalmol. Vis. Sci., 1997, 38, 1752–1760
  • [28] Greenfield D.S., Heggerick P.A., Hedges T.R., Color Doppler imaging of normal orbital vasculature, Ophthalmology,1995, 102, 1598–605 [Crossref]
  • [29] Williamson T.H., Lowe G.D., Baxter G.M., Influence of age, systemic blood pressure, smoking and blood viscosity on orbital blood velocities, Br. J. Ophthalmol., 1995, 79, 17–22 http://dx.doi.org/10.1136/bjo.79.1.17[Crossref]
  • [30] Trible J.R., Anderson D.R., Factors associated with retroorbital hemodynamic measurements at variable intraocular pressure, J. Glaucoma, 1998, 7, 33–8 http://dx.doi.org/10.1097/00061198-199802000-00007[Crossref]
  • [31] Harris A., Joos K., Kay M., Evans D., Shetty R., Sponsel W.E., et al., Acute IOP elevation with scleral suction: effects on retroorbital hemodynamics, Br. J. Ophthalmol., 1996, 80, 1055–9 http://dx.doi.org/10.1136/bjo.80.12.1055[Crossref]
  • [32] Joos K.M., Kay M.D., Pillunat L.E., Harris A., Gendron E.K., Feuer W.J., et al., Effect of acute intraocular pressure changes on short posterior ciliary artery hemodynamics, Br. J. Ophthalmol., 1999, 83, 33–8 http://dx.doi.org/10.1136/bjo.83.1.33[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-008-0039-5
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