Review Article

Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis

Table 3

Description of studies included in the narrative review.

NoAuthorsYearStudy designSurgical procedureOutcome assessed

1Gulati et al.2004RCTOphthalmic pediatricsThere was no significant change in mean intraocular pressure after insertion of the LMA. However, in the endotracheal tube group, the mean intraocular pressure significantly increased from a baseline of 13.1 ± 4.0 mmHg to 19.9 ± 7.3 mmHg.

2Myint et al.1995RCTOphthalmic adultIntraocular pressures were lower than baseline in both groups throughout anesthesia. But one min after removal of the device, mean intraocular pressure in the tracheal tube group was 16.0 mmHg and was significantly higher than the laryngeal mask group (10.9) ( < 0.01).

3Ziyaeifard et al.2012RCTOphthalmic adultThere were no significant differences in IOP between LMA and ETT groups immediately after airway instrumentation except in 5th min when IOP was 7.9 ± 2.3 mmHg in LMA and 9.4 ± 2.5 mmHg in the ETT group; ( = 0.030).

4Holder et al.1991RCTOphthalmic adultMean IOP before airway instrumentation in LMA and ETT groups was 17.9 ± 3.8 and 18.±4.1. However, after airway instrumentation, mean changes in LMA was 1.8 ± 21 and 6.8 ± 5.5 in the LMA group.

5Ghai et al.2001RCTOphthalmic adultIOP was measured in both right and left eyes. Both groups were associated with significant intraocular pressor responses after airway instrumentation in both eyes; however, the mean maximum increase was significantly higher after tracheal intubation.