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Quantitative rise in intraocular pressure in patients undergoing robotic surgery in steep Trendelenburg position: A prospective observational study

Journal of Anaesthesiology Clinical Pharmacology Jan 21, 2021

Goel N, Chowdhury I, Dubey J, et al. - Researchers conducted the study for observing the quantitative rise in intraocular pressure (IOP) in steep Trendelenburg position (> 45°) in robotic-assisted prostatectomy and hysterectomy. One hundred patients undergoing robotic surgeries in steep Trendelenburg position were recruited for the study after institutional ethical clearance and written informed consent. using Schiotz tonometer, IOP was measured at different time intervals in steep Trendelenburg position: Post intubation (T1), post pneumoperitoneum (T2), post steep Trendelenburg (T3), and rest readings were taken 30 min apart. For statistical analysis, 95 patients were included as five patients were omitted due to intraoperative procedures leading to alteration of outcomes. Steep Trendelenburg position for longer duration leads to a significant increase in intraocular pressure.

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