Changes in Intraocular Pressure in Single Ventricle Patients After the Glenn or Fontan Procedure
Changes in Intraocular Pressure in Single Ventricle Patients After the Glenn or Fontan Procedure
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Glenn 或 Fontan 手术后单心室患者眼压的变化
DOI：
10.1097/ijg.0000000000001375
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发表时间：
2019
影响因子：
2
通讯作者：
Ishida Susumu
中科院分区：
文献类型：
--
作者：
Kijima Riki;Sasaki Osamu;Shinmei Yasuhiro;Ohguchi Takeshi;Takeda Atsuhito;Chin Shinki;Ishida Susumu
目的：SV 是一种心脏畸形，其特征是仅存在 1 个功能性心室，采用 Glenn 和 Fontan 手术进行治疗。这些手术后 CVP 发生显着变化。据报道，同一个人在坐位或仰卧位测量时眼压存在差异，这可能与 CVP 有关。在本研究中，我们检查了 SV 手术前后 CVP 和 IOP 之间的关系。 患者和方法：本研究是一项前瞻性、非随机病例系列。所有患者均患有 SV，本研究排除了患有与高眼压相关的眼部疾病的患者。我们在 Glenn 或 Fontan 手术前后测量了眼压。同时监测CVP。结果：对14名接受Glenn（N=8）或Fontan（N=6）手术的SV患者的28只眼睛进行了检查。 Glenn 手术的平均年龄 (±SD) 为 2.6±0.7 个月，Fontan 手术的平均年龄为 24.0±2.7 个月。围手术期观察到 CVP 和 IOP 之间存在相关性。 Glenn 和/或 Fontan 手术后，IOP 和 CVP 均显着高于手术前。然而，Glenn 和/或 Fontan 手术后 IOP 和 CVP 的变化之间没有关系。结论：CVP 升高显着增加了接受 Glenn 或 Fontan 手术的 SV 患者的 IOP。两次手术后术后均需仔细监测眼压。
Purpose:SV is a cardiac malformation characterized by the existence of only 1 functional ventricle and is treated using the Glenn and Fontan procedures. Significant changes occur in CVP after these procedures. IOP has been reported to differ in the same individual when measured in a seated or supine position, which may be related to CVP. In the present study, we examined the relationship between CVP and IOP before and after surgery for SV.Patients and Methods:This study was a prospective, nonrandomized case series. All patients had SV and this study excluded those with eye diseases associated with ocular hypertension. We measured IOP before and after the Glenn or Fontan procedure. CVP was concurrently monitored.Results:Twenty-eight eyes of 14 patients with SV who underwent the Glenn (N= 8) or Fontan (N= 6) procedure were examined. Mean ages (±SD) were 2.6±0.7 months for the Glenn procedure and 24.0±2.7 months for the Fontan procedure. A correlation was observed between CVP and IOP in the perioperative period. IOP and CVP were both significantly higher after than before the Glenn and/or Fontan procedures. However, no relationship was noted between changes in IOP and CVP after the Glenn and/or Fontan procedures.Conclusions:Elevations in CVP significantly increased IOP in patients with SV who underwent the Glenn or Fontan procedure. IOP needs to be carefully monitored in the postoperative period after both procedures.
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[水静脉和泊肃叶定律]。
DOI：
10.1159/000300750
发表时间：
1949
期刊：
Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde
影响因子：
--
作者：
H. Goldmann
通讯作者：
H. Goldmann
影响因子：
37.8
作者：
Khairy, Paul;Fernandes, Susan M.;Landzberg, Michael J.
通讯作者：
Landzberg, Michael J.
影响因子：
0.8
作者：
JORGENSEN, JS;GUTHOFF, R
通讯作者：
GUTHOFF, R
影响因子：
9.8
作者：
Lee, Y. Y. S.;Wong, S. M.;Hung, C. T.
通讯作者：
Hung, C. T.
影响因子：
0.7
作者：
Goyal S;Phillips PH;Corder LA;Robertson MJ;Garcia X;Schmitz ML;Gupta P
通讯作者：
Gupta P