Robotic-assisted laparoscopic radical prostatectomy (RALRP) requires a pneumoperitoneum and a steep Trendelenburg position, which causes a significant increase in intraocular pressure. As a result, there is controversy about the surgical indication of RALRP for patients with glaucoma. We adopt RALRP for glaucoma patients who were diagnosed as early stage by an ophthalmologist. We measured intraocular pressure during RALRP in five patients with glaucoma. In these patients, intraocular pressure was comparable to non-glaucoma patients and there were no ocular complications. In this report, we describe perioperative management for RALRP with early stage glaucoma.
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