在接受非眼科手术的患者中,俯卧对眼内压力的影响:系统性审查
Eleftheria N Saoulidou1,2,3, Varvara D Giavi4,5, Nikolaos A Paidakakos6
12nd Department of Anesthesiology, School of Medicine, National and Kapodistrian University of Athens, Athens, GRC.
Cureus
|May 12, 2025
概括
在手术期间俯卧可能会增加眼内压力,可能会导致视力丧失的风险. 本次审查强调了预防策略的必要性,以减轻这种罕见但严重的并发症.
科学领域:
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
- 手术并发症 手术并发症
背景情况:
- 手术后视力丧失是非眼镜手术后的罕见但毁灭性的并发症,特别是当患者处于倾斜位置时.
- 在大多数情况下,术后视力丧失的确切原因仍然不清楚.
- 手术期间眼内压力升高 (IOP) 是一个可疑的促成因素.
研究的目的:
- 系统地审查有关躺卧对手术期间眼内压力影响的文献.
- 提高医生对术后视力损失风险的认识.
- 确定与倾斜定位相关的术后视力丧失的因素.
主要方法:
- 对2012年1月至2023年9月期间发表的研究进行了PubMed,Scopus和谷歌学者数据库的系统审查.
- 包括的研究研究了倾斜定位对手术患者眼内压力的影响.
- 分析了8项涉及649名患者的研究,这些患者在倾斜的位置接受了非眼科手术.
主要成果:
- 在从仰卧到俯卧的位置过渡时,观察到眼内压力的显著增加.
- 在审查的研究中,没有患者经历了术后视力丧失.
- 三名患者报告过渡性视力障碍,归因于躺姿.
结论:
- 在手术期间躺着的位置与眼内压力的显著上升有关.
- 虽然本次审查中没有出现视力损失,但潜在的风险需要进一步调查.
- 在易患手术时,识别预防术后视力丧失的关键因素至关重要.
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