Does Bariatric Surgery Affect Intraocular Pressure?

Shimonov, Mordechai; Hecht, Idan; Maharshak, Idit; Achiron, Asaf; Burgansky-Eliash, Zvia

doi:10.1007/s11695-020-04714-x

Cited by 7 publications

(4 citation statements)

References 20 publications

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“…There have been several studies examining the impact of bariatric surgery on ocular health (Table 1). Recent studies of patients undergoing bariatric surgery found that mean IOP decreased moderately by 21% at the 1‐year post‐operative mark ( p = .001) and persisted beyond 1 year after surgery 67 . In addition, Roux‐en‐Y gastric bypass has been shown to improve RNFL and foveal thickness, suggesting that bariatric surgery may be protective against the development of POAG 68 .…”

Section: Resultsmentioning

confidence: 99%

“…bariatric surgery found that mean IOP decreased moderately by 21% at the 1-year post-operative mark (p = .001) and persisted beyond 1 year after surgery. 67 In addition, Roux-en-Y gastric bypass has been shown to improve RNFL and foveal thickness, suggesting that bariatric surgery may be protective against the development of POAG. 68 A recent prospective controlled study of adults with Class III obesity found that sleeve gastrectomy improved macular and peripapillary choroidal thickness, total choroidal area, and choroidal vascularity index and may be protective against AMD.…”

Section: Bariatric Surgery and Eye Healthmentioning

confidence: 99%

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Shedding light on eye disease in obesity: A review

et al. 2023

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SummaryObesity is known to be associated with numerous ocular manifestations, including but not limited to, diabetic retinopathy (DR), age‐related macular degeneration (AMD), cataracts, glaucoma, and dry eye disease. This review aims to provide an overview of the ophthalmological findings in obesity. A literature search was conducted using PubMed and Cochrane databases for studies describing randomized clinical trials, meta‐analyses, systematic reviews, and observational studies published from 1 January 2017 to 1 April 2023. The search terms used included relevant keywords such as ‘obesity’, ‘body mass index’, ‘waist‐to‐hip ratio’, ‘bariatric’, ‘ophthalmology’, ‘eye disease’, ‘myopia’, ‘retinopathy’, ‘glaucoma’, and ‘cataract’. This literature search was performed on 1 April 2023. Obesity is associated with increased risk of developing DR, a sight‐threatening complication of diabetes mellitus. Similarly, obesity has been shown to increase risk of AMD, cataracts, glaucoma, and ocular surface disease. Multiple mechanisms linking obesity to ophthalmic disease have been proposed. Adipose tissue produces various inflammatory cytokines that can affect ocular tissues, leading to disease progression. Additionally, obesity is associated with systemic metabolic changes that can influence ocular health. Bariatric surgery has been shown to be protective against development of ophthalmic disease. Obesity is a significant risk factor for several ophthalmological diseases. Healthcare providers should encourage weight loss in patients with overweight or obesity to prevent or delay the onset of ocular complications. Further research is needed to better understand the underlying mechanisms of this association, and to identify effective strategies for preventing or managing ophthalmic disease in patients with obesity.

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Section: Resultsmentioning

confidence: 99%

Section: Bariatric Surgery and Eye Healthmentioning

confidence: 99%

Shedding light on eye disease in obesity: A review

et al. 2023

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“…Other studies investigating the effect of BMI reduction on IOP levels reported conflicting results. While ElShazly et al found no significant change in IOP following bariatric surgery [ 26 ], others did show a significant decrease in IOP following weight loss surgery [ 27 , 28 ]. The effect of weight loss on IOP was also evident in several longitudinal population-based studies from Japan [ 18 , 29 ] and China [ 25 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

The effect of body mass index reduction on intraocular pressure in a large prospective cohort of apparently healthy individuals in Israel

Coster,

Rafie,

Savion-Gaiger

et al. 2023

PLoS ONE

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Purpose To investigate the effect of change in body mass index (BMI) on intraocular pressure (IOP) in a large cohort of apparently healthy volunteers who underwent an annual comprehensive screening examinations. Methods This study included individuals who were enrolled in the Tel Aviv Medical Center Inflammation Survey (TAMCIS) and had IOP and BMI measurements at their baseline and follow up visits. Relationships between BMI and IOP and the effect of change in BMI on IOP were investigated. Results A total of 7,782 individuals had at least one IOP measurement at their baseline visit, and 2,985 individuals had ≥2 visits recorded. The mean (SD) IOP (right eye) was 14.6 (2.5) mm Hg and mean (SD) BMI was 26.4 (4.1) kg/m2. IOP positively correlated with BMI levels (r = 0.16, p<0.0001). For individuals with morbid obesity (BMI≥35 kg/m2) and ≥2 visits, a change in BMI between the baseline and first follow-up visits correlated positively with a change in the IOP (r = 0.23, p = 0.029). Subgroup analysis of subjects who had a reduction of at least 2 BMI units showed a stronger positive correlation between change in BMI and change in IOP (r = 0.29, p<0.0001). For this subgroup, a reduction of 2.86 kg/m2 of BMI was associated with a reduction of 1 mm Hg in IOP. Conclusions BMI loss correlated with reduction in IOP, and this correlation was more pronounced among morbidly obese individuals.

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“…Placing patients in the Trendelenburg position during laparoscopic surgery has been reported to increase intraocular pressure (IOP), as the patient's body is placed at an angle [1,2,3], and hence caution is required in patients with coexisting ocular diseases. In addition, obesity has been suggested to affect the increase in IOP [4], but there have been no reports to date on the effects of the Trendelenburg position on the IOP of obese patients. We experienced a case of a morbidly obese patient with repeated fundus hemorrhages who underwent laparoscopic colectomy.…”

Section: Introductionmentioning

confidence: 99%

Intraocular pressure monitoring and anesthesia management of a morbidly obese patient who underwent laparoscopic surgery in the Trendelenburg position: a case report

Tomino,

Okuyama,

Maeda

2023

Preprint

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Does Bariatric Surgery Affect Intraocular Pressure?

Cited by 7 publications

References 20 publications

Shedding light on eye disease in obesity: A review

Shedding light on eye disease in obesity: A review

The effect of body mass index reduction on intraocular pressure in a large prospective cohort of apparently healthy individuals in Israel

Intraocular pressure monitoring and anesthesia management of a morbidly obese patient who underwent laparoscopic surgery in the Trendelenburg position: a case report

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