Effect of anesthesia on intraocular pressure measurement in children

被引：30

作者：

Mikhail, Mikel ^{[1
]}

Sabri, Kourosh ^{[2
,3
,4
]}

Levin, Alex V. ^{[5
]}

机构：

[1] McGill Univ, Dept Ophthalmol, Montreal, PQ, Canada

[2] McMaster Univ, Dept Surg, Div Ophthalmol, Hamilton, ON, Canada

[3] McMaster Univ, Dept Surg, McMaster Pediat Surg Res Collaborat, Hamilton, ON, Canada

[4] McMaster Univ, Dept Surg, McMaster Pediat Eye Res Grp, Hamilton, ON, Canada

[5] Thomas Jefferson Univ, Wills Eye Hosp, Pediat Ophthalmol & Ocular Genet, Philadelphia, PA 19107 USA

来源：

SURVEY OF OPHTHALMOLOGY | 2017年 / 62卷 / 05期

关键词：

intraocular pressure; IOP; anesthesia; pediatric; tonometry; glaucoma; examination under anesthesia; LARYNGEAL MASK AIRWAY; CENTRAL CORNEAL THICKNESS; CHLORAL HYDRATE SEDATION; OUTPATIENT CATARACT-SURGERY; RAPID-SEQUENCE INDUCTION; TONO-PEN; PEDIATRIC-PATIENTS; INTRAMUSCULAR PREMEDICATION; TRACHEAL INTUBATION; MUSCLE-RELAXANTS;

D O I：

10.1016/j.survophthal.2017.04.003

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Measurement of the intraocular pressure (IOP) is central to the diagnosis and management of pediatric glaucoma. An examination under anesthesia is often necessary in pediatric patients. Different agents used for sedation or general anesthesia have varied effects on IOP. Hemodynamic factors, methods of airway management, tonometry technique, and body positioning can all affect IOP measurements. The most accurate technique is one that reflects the awake IOP. We review factors affecting IOP measurements in the pediatric population and provide recommendations on the most accurate means to measure IOP under anesthesia based on the present literature. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：648 / 658

页数：11

共 118 条

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