• A & A case reports · Jan 2016

    Editorial

    Intraoperative Management of Increased Intraocular Pressure in a Patient with Glaucoma Undergoing Robotic Prostatectomy in the Trendelenburg Position.

    • Maxine Lee, Robert Dallas, Charles Daniel, and Frank Cotter.
    • From the *Department of Surgery, Virginia Tech Carilion School of Medicine, Roanoke, Virginia; †Department of Surgery, Edward Via College of Osteopathic Medicine, Virginia Campus, Blacksburg, Virginia; ‡Department of Anesthesiology, Anesthesiology Consultants of Virginia, Inc., Roanoke, Virginia; §Department of Urology, Jefferson Surgical Clinic, Inc., Roanoke, Virginia; and ∥Department of Ophthalmology, Vistar Eye Clinic, Roanoke, Virginia.
    • A A Case Rep. 2016 Jan 15; 6 (2): 19-21.

    AbstractPatients with primary open angle glaucoma have decreased outflow through the trabecular meshwork of the eye, resulting in increased intraocular pressure (IOP). It is known that the Trendelenburg position causes increased IOP, but there are no current guidelines for monitoring and treating patients with glaucoma undergoing surgical procedures while in the Trendelenburg position. We describe a case of successful intraoperative management of increased IOP in a patient with glaucoma undergoing robotic radical prostatectomy while in steep Trendelenburg position.

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