Does general anesthesia have a clinical impact on intraocular pressure in children?

Termühlen, Julia; Gottschalk, Antje; Eter, Nicole; Aken, Hugo Van; Grenzebach, Ulrike; Prokosch, Verena

doi:10.1111/pan.12955

Cited by 19 publications

(11 citation statements)

References 24 publications

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“…In order to reduce interference of depth of anesthesia with IOP values [24,25], IOP was always measured within the first minutes after initiation of anesthesia. Time point of IOP measurements, method of anesthesia, detailed description of anterior segment and gonioscopy findings, surgical status of the eye and signs of secondary glaucoma were thoroughly documented in the extended GAEF (see Additional file 3: Fig.…”

Section: Resultsmentioning

confidence: 99%

Childhood glaucoma registry in Germany: initial database, clinical care and research (pilot study)

et al. 2022

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Objective The aim of this prospective pilot study is to establish an initial database to register patients diagnosed with different types of childhood glaucoma and the set-up of a national registry for childhood glaucoma (ReCG) in Germany. 28 children with different types of diagnosed childhood glaucoma, who were admitted and treated at the Childhood Glaucoma Center of the University Medical Center Mainz, Germany were included. Main outcome measures were the type of childhood glaucoma, mean intraocular pressure (IOP) and genetic data of the patients. Results The documents and questionnaires for each individual included: informed consent form of the parents, medical history form of the child, patient’s gestational history questionnaire and general anesthesia examination form. Primary congenital and secondary childhood glaucoma were revealed in 11 (39%) and 17 (61%) patients, respectively. The mean IOP measured with Perkins tonometer in all patients under general anesthesia at the time of inclusion was 17.5 ± 11.8 mmHg in the right and 17 ± 8.9 mmHg in the left eyes. In 33% of children with glaucoma mutations in the CYP1B1, FOXC1, LTBP2 and TEK genes were found. The development of specific questionnaires for childhood glaucoma provides detailed baseline data to establish a ReCG in Germany for the first time.

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Section: Resultsmentioning

confidence: 99%

Childhood glaucoma registry in Germany: initial database, clinical care and research (pilot study)

et al. 2022

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“…15e17 In addition, all pneumatonometry measurements were performed within the first 5 minutes of general anesthesia to minimize its possible effect on IOP measurements. 18,19 The prediction model based on inferotemporal scleral pneumatonometry may be more practical for the following reasons. First, consistent with previous studies on adults, 5e7 inferotemporal pneumatonometry here also showed stronger correlation with corneal pneumatonometry compared with inferonasal pneumatonometry.…”

Section: Discussionmentioning

confidence: 99%

Correlation of Corneal and Scleral Pneumatonometry in Pediatric Patients

et al. 2018

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In children, corneal and scleral IOP are correlated significantly when measured by pneumatonometry. Measurements obtained from the inferotemporal sclera are better predictors of corneal IOP than those obtained from inferonasal sclera. Pneumatonometry on the inferotemporal sclera may be an alternative method to estimate IOP for pediatric patients from whom corneal IOP measurement is difficult to obtain.

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“…It disrupts the auto-regulatory mechanism of choroidal circulation and leads to an increase in intraocular blood volume [58]. Besides, most anesthetics decrease intracerebral pressure, which is correlated to IOP [59]. Endotracheal intubation may reduce the venous drainage of the head due to intrathoracic pressure increase, which ultimately increases the IOP [55].…”

Section: Availability Of Triggerfish® Cls Application In the Spinal Amentioning

confidence: 99%

Outcome, influence factor and development of CLS measurement in continuous IOP monitoring: A narrative review

Chen

Lin

et al. 2021

Contact Lens and Anterior Eye

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A large fluctuation in intraocular pressure (IOP) and a high peak IOP remain the risk factors for progressive visual field loss in patients with glaucoma, which is a leading cause of irreversible blindness. However, IOP measurements during working time cannot provide sufficient information on IOP to guide clinicians in setting IOP target values. Contact lenses are extensively used in ophthalmology to correct the refractive error, and recently, they are serving as platforms for detection and drug delivery. Contact lens sensor (CLS) is a feasible and promising approach to continuously monitor IOP, with superior tolerance, non-invasiveness, and without sleep disturbance. The present work reviewed the associations between progressive course and Triggerfish® CLS outputs as well as the relationship between treatments and Triggerfish® CLS outputs. Moreover, it further summarized state-of-the-art CLS devices of the past decade.

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Does general anesthesia have a clinical impact on intraocular pressure in children?

Cited by 19 publications

References 24 publications

Childhood glaucoma registry in Germany: initial database, clinical care and research (pilot study)

Childhood glaucoma registry in Germany: initial database, clinical care and research (pilot study)

Correlation of Corneal and Scleral Pneumatonometry in Pediatric Patients

Outcome, influence factor and development of CLS measurement in continuous IOP monitoring: A narrative review

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