Intraocular pressure change during laparoscopic sacral colpopexy in patients with normal tension glaucoma

Moriyama, Yoji; Miwa, Kosei; Yamada, Tadanori; Ayako, Sawaki; Nishino, Yoshinori; Kitagawa, Yasuhide

doi:10.1007/s00192-018-03866-w

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…Although the presence of a high IAP while undergoing laparoscopic surgery and bacteria may cause conjunctival congestion ( 25 ), we predicted that a cluster of binocular conjunctival congestion after LC developed from use of the modified chitosan medical membrane product with the BLK1821 lot number for the following reasons: (1) we recorded negative corneal and conjunctival fluorescein staining results, and bacterial isolates from the environment and hands were ubiquitous in the environment or common skin commensals or normal flora of conjunctiva; (2) there were no significant differences between the cases and controls in terms of IAP and food or drug allergy; (3) the binocular conjunctival congestion disappeared naturally within 3–5 days without any treatment; (4) the lot number of the modified chitosan medical membrane product used to treat patients who underwent LC was switched from BLK1820 to BLK1821 beginning May 6, 2019, and all case-patients were treated with the latter; (5) no relapse of binocular conjunctival congestion in the day ward has been observed since stopping usage of the BLK1821 products.…”

Section: Discussionmentioning

confidence: 99%

Is It an Outbreak of Health Care-Associated Infection? An Investigation of Binocular Conjunctival Congestion After Laparoscopic Cholecystectomy Was Traced to Chitosan Derivatives

Han

Huang

et al. 2022

Front. Med.

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BackgroundFrom May 6 to May 23, 2019, 24 (80.00%) patients who underwent laparoscopic cholecystectomy (LC) developed binocular conjunctival congestion within 4–8 h after their operation in the day ward of a teaching hospital.MethodsNosocomial infection prevention and control staff undertook procedural and environmental investigations, performed a case-control retrospective study (including 24 cases and 48 controls), and reviewed all lot numbers of biological material products to investigate the suspected outbreak of health care-associated infection.FindingsInitially, an outbreak of health care-associated infection caused by bacteria was hypothesized. We first suspected the membranes that covered patients' eyes were cut using non-sterile scissors and thus contaminated, but they failed to yield bacteria. In addition, both corneal and conjunctival fluorescein staining results were negative in case-patients and isolated bacteria were ubiquitous in the environment or common skin commensals or normal flora of conjunctiva from 218 samples from day surgery and the day ward. Hence, we considered a non-infectious factor as the most likely cause of the binocular conjunctival congestion. Then, we found that case-patients were more likely than LC surgery patients without binocular conjunctival congestion to be exposed to biological materials in a retrospective case-control study. When we reviewed lot numbers, duration of use, and the number of patients who received four biological material products during LC in the day ward, we found that the BLK1821 lot of a modified chitosan medical membrance (the main ingredient is chitosan, a linear cationic polysaccharide) was used concurrently to when the case aggregation appeared. Finally, we surmised there was a correlation between this product and the outbreak of binocular conjunctival congestion. Relapse of the pseudo-outbreak has not been observed since stopping usage of the product for 6 months.ConclusionA cluster of binocular non-infectious conjunctival congestion diagnosed after LC proved to be a pseudo-outbreak. We should pay more attention to adverse events caused by biomaterials in hospitals.

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Section: Discussionmentioning

confidence: 99%

Is It an Outbreak of Health Care-Associated Infection? An Investigation of Binocular Conjunctival Congestion After Laparoscopic Cholecystectomy Was Traced to Chitosan Derivatives

Han

Huang

et al. 2022

Front. Med.

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“…Most studies are small and limited, measuring intraocular pressure mostly in nonglaucomatous subjects. 173–180…”

Section: Optic Nervementioning

confidence: 99%

“…Most studies are small and limited, measuring intraocular pressure mostly in nonglaucomatous subjects. [173][174][175][176][177][178][179][180] Head-down Positioning in Subjects with Glaucoma: Nonsurgical. Moderate head-down tilting can be used as a provocative test to identify patients who progress to development of glaucoma.…”

Section: Preoperative Evaluation and Anesthetic Carementioning

confidence: 99%

Perioperative Care of the Patient with Eye Pathologies Undergoing Nonocular Surgery

et al. 2022

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The authors reviewed perioperative ocular complications and implications of ocular diseases during nonocular surgeries. Exposure keratopathy, the most common perioperative eye injury, is preventable. Ischemic optic neuropathy, the leading cause of perioperative blindness, has well-defined risk factors. The incidence of ischemic optic neuropathy after spine fusion, but not cardiac surgery, has been decreasing. Central retinal artery occlusion during spine fusion surgery can be prevented by protecting eyes from compression. Perioperative acute angle closure glaucoma is a vision-threatening emergency that can be successfully treated by rapid reduction of elevated intraocular pressure. Differential diagnoses of visual dysfunction in the perioperative period and treatments are detailed. Although glaucoma is increasingly prevalent and often questions arise concerning perioperative anesthetic management, evidence-based recommendations to guide safe anesthesia care in patients with glaucoma are currently lacking. Patients with low vision present challenges to the anesthesia provider that are becoming more common as the population ages.

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Systematic review of the ophthalmic complications of robotic-assisted laparoscopic prostatectomy

Rabinowitz,

Kinnear,

O’Callaghan

et al. 2024

J Robotic Surg

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Intraocular pressure change during laparoscopic sacral colpopexy in patients with normal tension glaucoma

Cited by 5 publications

References 22 publications

Is It an Outbreak of Health Care-Associated Infection? An Investigation of Binocular Conjunctival Congestion After Laparoscopic Cholecystectomy Was Traced to Chitosan Derivatives

Is It an Outbreak of Health Care-Associated Infection? An Investigation of Binocular Conjunctival Congestion After Laparoscopic Cholecystectomy Was Traced to Chitosan Derivatives

Perioperative Care of the Patient with Eye Pathologies Undergoing Nonocular Surgery

Systematic review of the ophthalmic complications of robotic-assisted laparoscopic prostatectomy

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