Intraocular Pressure in Electroconvulsive Therapy

Ottosson, Jan-Otto; Rendahl, Ilmari

doi:10.1001/archopht.1963.00960050464006

Cited by 13 publications

(4 citation statements)

References 10 publications

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“…ECT was reported to increase IOP up to 25-68 mm Hg. [31][32][33] ECT, itself increases IOP by increasing cerebral blood flow and venous pressure and by increase in extraocular muscle spasm, while anesthetic medications also play role in increasing IOP by themselves. Succinylcholine, a depolarizing muscle relaxant, can raise IOP, whereas other agents (barbiturates, benzodiazepine, and propofol) can lower it.…”

Section: Electroconvulsive Therapy (Ect)mentioning

confidence: 99%

Psychotropic Drugs and Glaucoma - A Brief Overview

Bhattacharjee¹

2016

Bangal J Psy

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Glaucoma is a group of diseases that damage the eye’s optic nerve and can result in vision loss and blindness. This “silent thief of vision” is the second most common cause ofblindnessworlwide, currently affecting 60 million people with 8.4 million blind, and projected to rise to 80 million by 2020 with 11.2 million blind. 1Though various eye pathologiesplay role in this commonest cause of irreversible blindness, various medications, including sychotropic medicines and ECT, can cause secondary glaucoma in susceptible patients.

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Section: Electroconvulsive Therapy (Ect)mentioning

confidence: 99%

Psychotropic Drugs and Glaucoma - A Brief Overview

Bhattacharjee¹

2016

Bangal J Psy

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“…1,2 Studies have shown that IOP rapidly increased up to 15 mm Hg during electroshock therapy and a rapid decrease occur within four minutes after completion of the electroshock therapy. 3 Weight lifting (Isometric exercise) produced an increase in the IOP, while running (Isotonic exercise) led to a reduction in pressure. Thus the results are conflicting.…”

Section: Introductionmentioning

confidence: 99%

Effect 0f Isotonic and Isometric Exercises on Intra Ocular Pressure

H¹

2015

jebmh

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BACKGROUND: Intra Ocular Pressure (IOP) changes following dynamic (Isotonic or Isokinetic) and static (Isometric) exercise. AIM: To study the effect of dynamic and static exercises on IOP and blood pressure in the same subject following each type of exercise and to correlate the changes in BP to the changes in the IOP. MATERIALS AND METHODS: The study group consisted of 55 volunteers, visually normal as subjects, 30 boys and 25 girls in the age group of 18 to 20 years. Independent measurements of the IOP of each eye were obtained and BP was also measured in the resting state. Keelar Pulsair air impulse tonometer was used in all the subjects for IOP measurement. IOP was measured in the department of Ophthalmology, Teaching Hospital between 08AM to 10 AM on two consecutive mornings in a randomized manner. The subject undertook static exercise using the hand grip dynamometer and towards the end of the test, IOP and BP were measured. The next morning, resting IOP and the BP were measured and the subject undertook the dynamic exercise using the bicycle ergometer and the IOP's and the BP were measured at the end of the test. STATISTICAL ANALYSIS: were done using Paired 't' test. RESULTS: IOP decreased by 2.58±0.16 mmHg(R) eye & 2.64±0.09 mmHg (L) eye during exercise using Hand grip dynamometer and the systolic and diastolic blood pressures increased by 14.73±0.87 & 12.98±1.01 mmHg respectively. The changes were statistically significant (P<0.001). IOP decreased by 2.55±0.07 mmHg(R) eye & 2.49±0.1 mmHg(L)eye following exercise using bicycle ergometer and the systolic increased by 15.73±1.71 mmHg and the diastolic decreased by 10.83±2.46 mmHg. The changes were statistically significant (P<0.001). There was no correlation between the changes in BP to the changes in IOP. CONCLUSION: IOP decreased in both static and dynamic exercises. There was no correlation between the changes in BP to the changes in IOP.

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“…[2] However a small case series involving two patients suggested that rise in IOP is of lesser magnitude in glaucomatous patients than the non-glaucomatous patients. [6] Evidence in the form of case reports suggests that ECT is usually associated with transient elevation in the IOP [7][8][9] and occasional reports suggest fall in intra-ocular pressure. [10] In this report we present the case of a patient with open angle glaucoma (who had undergone trabeculectomy for the same) who was treated with ECT and review the existing literature with respect to glaucoma and ECT.…”

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confidence: 99%

Use of Electroconvulsive Therapy in the Presence of GLAUCOMA: A Case Report and Review of Literature

Aneja¹,

Grover²,

Agarwal³

et al. 2013

Indian Journal of Psychological Medicine

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Limited data is available with respect to use of Electroconvulsive therapy (ECT) in the presence of glaucoma. We present a case of severe depression with psychotic symptoms who did not respond to various antidepressant trials and required ECT. His medical history showed that he was diagnosed to have open angle glaucoma and cataract in both the eyes. He had undergone bilateral trabeculectomy and cataract surgery for his ophthalmological aliments. He was safely treated with bilateral ECT, with which he achieved remission.

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Intraocular Pressure in Electroconvulsive Therapy

Cited by 13 publications

References 10 publications

Psychotropic Drugs and Glaucoma - A Brief Overview

Psychotropic Drugs and Glaucoma - A Brief Overview

Effect 0f Isotonic and Isometric Exercises on Intra Ocular Pressure

Use of Electroconvulsive Therapy in the Presence of GLAUCOMA: A Case Report and Review of Literature

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