Transient but significant visual field defects after robot-assisted laparoscopic radical prostatectomy in deep tRendelenburg position.

Journal: PloS one
Published Date: Apr 23, 2015

Abstract

BACKGROUND: Robot-assisted laparoscopic radical prostatectomy (RALP) is a minimally invasive surgical procedure for prostate cancer. During RALP, the patient must be in a steep Trendelenburg (head-down) position, which leads to a significant increase in intraocular pressure (IOP). The association of RALP with visual field sensitivity, however, has not been prospectively studied. The purpose of this study was to evaluate prospectively the visual field, retinal nerve fiber layer (RNFL) thickness, and optic disc morphology in 50 normal eyes of 25 male patients that underwent RALP.

Authors

  • Yukako Taketani
    Department of Ophthalmology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan; Department of Ophthalmology, Asahi General Hospital, Chiba, Japan.
  • Chihiro Mayama
    Department of Ophthalmology, The University of Tokyo Graduate School of Medicine, Tokyo, Japan.
  • Noriyuki Suzuki
    Department of Urology, Asahi General Hospital, Chiba, Japan.
  • Akiko Wada
    Department of Anesthesiology, Asahi General Hospital, Chiba, Japan.
  • Tatsuhiro Oka
    Department of Anesthesiology, Asahi General Hospital, Chiba, Japan.
  • Kazuya Inamochi
    Department of Ophthalmology, Asahi General Hospital, Chiba, Japan; Department of Ophthalmology, Tokyo Metropolitan Police Hospital, Tokyo, Japan.
  • Yohei Nomoto
    Department of Ophthalmology, Asahi General Hospital, Chiba, Japan.

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