2011 Fiscal Year Final Research Report
Postoperative visual dysfunction after non-ocular surgery
| Project/Area Number |
21659369
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| Research Category |
Grant-in-Aid for Challenging Exploratory Research
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| Allocation Type | Single-year Grants |
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| Research Field |
Anesthesiology/Resuscitation studies
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| Research Institution | Nara Medical University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
KAWAGUCHI Masahiko 奈良県立医科大学, 医学部, 准教授 (60275328)
YOSHITANI Kenji 奈良県立医科大学, 医学部, 研究員 (30524029)
OKITA Toshikazu 奈良県立医科大学, 医学部, 助教 (70526706)
OKAMOTO Masahiro 奈良県立医科大学, 医学部, 助教 (30458038)
MATSUURA Toyoaki 奈良県立医科大学, 医学部, 講師
FURUYA Hitoshi 奈良県立医科大学, 医学部, 教授
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| Project Period (FY) |
2010 – 2011
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| Keywords | 周術期管理学 / 術後眼障害 / 眼圧 |
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| Research Abstract |
Postoperative visual dysfunction after non-ocular surgery is a rare complication, but devastating and likely to impair quality of vision. The incidences in spine surgery during prone position and cardiac surgery are relatively high. Increased intraocular pressure(IOP) during prone position may be one of risk factors of postoperative visual dysfunction. We therefore investigated IOP changes during spine surgery in prone position under propofol and sevoflurane anesthesia. In result, although IOP values were higher in the sevoflurane group than in the propofol group, the differences in IOP values were not statistically significant. In subsequent study, we prospectively investigated the incidence of postoperative visual dysfunction(POVD) after cardiovascular surgery with cardiopulmonary bypass(CPB), using seven ophthalmic examinations preoperatively and postoperatively, including fundus, visual field, visual acuity, color vision, eye movement, intraocular pressure and critical flicker frequency. The result showed that the incidence of POVD after cardiovascular surgery with CPB was 11.4%(8 patients of 70). Of these 8 patients with POVD, symptomatic POVD was recognized in one patient(1.4%) with postoperative visual field deficit and reduced visual acuity.
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[Journal Article]2012
Author(s)
Aiko Sugata, Hironobu Hayashi, Kawaguchi Masahiko, Hasuwa Kyoko, Nomura Yasumitsu, Furuya Hitoshi
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Journal Title
Journal of Neurosurgical Anesthesiol
Volume: Volume 24
Pages: 152-156
DOI
Peer Reviewed
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