Korean J Anesthesiol.  1997 Sep;33(3):529-532. 10.4097/kjae.1997.33.3.529.

The Effect of CO2 Insufflation and Trendelenburg-lithotomy Position on Intraocular Pressure during Laparoscopy

• Lee BR
• Woo YC
• Koo GH

• KMID: 2091169
• DOI: http://doi.org/10.4097/kjae.1997.33.3.529

Abstract

BACKGROUND: The laparoscopy requires carbon dioxide (CO2) insufflation and Trendelenburg position for operational convenience. However, the above circumstances affect the cardiopulmonary systems significantly and intraocular pressure (IOP) may be also influenced.
METHODS
In 27 non-glaucoma patients right and left intraocular pressure (RIOP, LIOP) were measured 5 minutes after induction of general anesthesia (control value), 15 and 30 minutes after CO2 insufflation and endelenburg-lithotomy position.
RESULTS
The control values of RIOP and LIOP were 11.3 4.7 mmHg and 11.5 4.7 mmHg respectively. At 15 minutes after CO2 insufflation and Trendelenburg-lithotomy position, they increased to 16.6 5.3 mmHg and 17.0 5.9 mmHg (p<0.05). At 30 minutes, 18.4 3.5 mmHg and 18.2 4.1 mmHg (p<0.05).
CONCLUSION
CO2 insufflation and Trendelenburg-lithotomy position increase IOP significantly in non-glaucoma patients during laparoscopy.

Keyword

Complications, intraocular pressure; Position; Trendelenburg-lithotomy Surgery, laparoscopy; CO2 insufflation

MeSH Terms

Anesthesia, General
Carbon Dioxide
Head-Down Tilt
Humans
Insufflation*
Intraocular Pressure*
Laparoscopy*
Carbon Dioxide