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CAUSE OF IOP
OBSTRUCTION OF AQUEOUS HUMOR OUTFLOW
(GLAUCOMA)
VOLUME
INTUBATION) 4/26/12
PRESSURE ON THE EYE FROM A TIGHTLY IMPROPER PRONE POSITIONING RETROBULBAR HEMORRHAGE
4/26/12
SURGICAL PROCEDURES OR AFTER TRAUMATIC PERFORATIONINTRAOCULARE PRESSURE APPROACHES ATMOSPHERIC PRESSRE INTRAOCULAR PRESSURE WILL TEND TO DECREASE INTRAOCULAR VOLUME (BY CAUSING DRAINAGE OF AQUEOUS OR EXTRUSION OF VITREOUS THROUGH THE WOUND)SERIOUS COMPLICATIONCAN PERMANENTLY WORSEN VISION
4/26/12
4/26/12
OCR IS MOST COMMON IN PEDIATRIC PATIENTS CAN BE EVOKED IN ALL AGE GROUPS DURING :
CATARACT EXTRACTION ENUCLEATION RETINAL REPAIR
4/26/12
CAN BE HAZARDOUS IN ELDERLY PATIENTS (OFTEN WITH SOME DEGREE OF CORONARY ARTERY DISEASE) ALTERNATIVELY: RETROBULBAR BLOCKADE (BY SURGEON) OR DEEP INHALATIONAL ANESTHESIA BUT THESE PROCEDURE IMPOSE RISK OF THEIR OWN. 4/26/12
THE 4/26/12
EFFECT OF ANESTHETIC DRUGS ON INTRAOCULAR PRESSURE MOST ANESTHETIC DRUGS EITHER LOWER
OR HAVE NO EFFECT ON IOP
INHALATIONAL ANESTHETICS DECREASE IOP IN
INTRAOCULAR PRESSURE, EXCEPTION IS KETAMINE RAISE ARTERIAL BLOOD PRESSURE IOP & DOESNT RELAX EXTRAOCULAR MUSCLES
4/26/12
MULTIPLE CAUSES:
CHOROIDAL VOLUME
RELAXATION OF THE EXTRAOCULAR
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ADMINISTERED ATROPINE ARE NOT ASSOCIATED WITH INTRAOCULAR HYPERTENSION, HOWEVER IN PATIENTS WITH GLAUCOMA
4/26/12
PRESSURE BY 5 10 mmHg FOR 5-10 MINUTES AFTER ADMINISTRATION, PRINCIPALLY THROUGH PROLONGED CONTRACTURE OF THE EXTRAOCULAR MUSCLES (NOT RECOMMENDED FOR GLAUCOMA PATIENTS)
A RISE IOP THROUGH AN OPEN SURGICAL OR
INDUCTION
THE CHOICE OF INDUCTION TECHNIQUES
FOR EYE SURGERY USUALLY DEPENDS MORE ON THE PATIENTS OTHER MEDICAL PROBLEMS THAN ON THE PATIENTS EYE DISEASE OR THE TYPE OF SURGERY CONTEMPLATED. RUPTURE GLOBETHE KEY TO INDUCING ANESTHESIA IN PATIENTS WITH OPEN EYE INJURY IS CONTROLLING INTRAOCULAR PRESSURE WITH A SMOOTH INDUCTION.
INDUCTION
SPECIFICIALLY COUGHING DURING
INTUBATION MUST BE AVOIDED BY ACHIEVING A DEEP LEVEL OF ANESTHESIA & PROFOUND PRALYSIS
RESPONS IOP TO LARYNGOSCOPY &
ENDOTRACHEAL INTUBATION CAN BE BLUNTED BY PRIOR ADMINISTRATION OF INTRAVENOUS LIDOCAINE (1,5 mg/kg), OR FENTANYL (3-5 g/kg)
4/26/12
DRUGS IS USED INSTEAD OF SUCCINYLCHOLINE (DEPOLARIZING MUSCL RELAX) BECAUSE SUCCINYL INFLUENCE ON IOP, EXCEPTION MOST PATIENTS WITH OPEN GLOBE INJURIES WHO HAVE FULL STOMACHS & REQUIRE A RAPID SEQUENCE INDUCTION TECHNIQUE
INHALATIONAL ANESTHETICS IS NO
4/26/12