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BioMed Research International
Volume 2015 (2015), Article ID 986895, 4 pages
http://dx.doi.org/10.1155/2015/986895
Clinical Study

The Increase of Intra-Abdominal Pressure Can Affect Intraocular Pressure

1Department of Surgery, Selcuk University, Faculty of Medicine, 42075 Konya, Turkey
2Department of Surgery, Konya Medicana Hospital, 42100 Konya, Turkey
3Department of Surgery, Necmettin Erbakan University, Faculty of Medicine, 42080 Konya, Turkey
4Department of Eye Surgery, Necmettin Erbakan University, Faculty of Medicine, 42080 Konya, Turkey

Received 8 October 2014; Accepted 20 November 2014

Academic Editor: Subhas Gupta

Copyright © 2015 Ilhan Ece et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. This study aims to explore the usage of intraocular pressure measurements as the early indicator of the increase in intra-abdominal pressure. Methods. In this prospective study, 40 patients undergoing elective surgery were included. Patients were divided into four groups of 10 patients. The control group (Group C) was not subjected to laparoscopic intervention. Laparoscopic surgery was, respectively, performed with an intra-abdominal pressure of 9, 12, and 15 mmHg in Groups L (low), M (medium), and H (high pressure). Intraocular pressure was measured binocularly in each patient at three different times (before, during, and end of surgery) using a contact tonometer. Results. Patients’ gender, age, body mass index (BMI), American Society of Anesthesiology (ASA) class, and operative times were not different among the groups. No complications occurred with either the surgery or measurement of intraocular pressure. Intubation was associated with a severe rise in IOP . An increase in intraocular pressure was seen in groups M and H . Conclusion. Intraocular pressure was increased in the groups with an intra-abdominal pressure of 12 mmHg or more. Measuring the intraocular pressure might be a useful method to estimate the intra-abdominal pressure. This trial is registered with NCT02319213.