Comparision of the effects of subtenon’s and subconjunctival anesthesia on retroorbital hemodynamics

Open Medicine ◽  
2009 ◽  
Vol 4 (1) ◽  
pp. 84-90
Author(s):  
Hasan Cakmak ◽  
Mehmet Coskun ◽  
Huseyin Simavli ◽  
Mehmet Gumus ◽  
Ali Ipek ◽  
...  
Keyword(s):  
Blood Flow ◽  
Pulsatility Index ◽  
Ophthalmic Artery ◽  
Color Doppler ◽  
Central Retinal Artery ◽  
Doppler Imaging ◽  
Cataract Operation ◽  
Anesthesia Group ◽  
Ciliary Arteries ◽  
Retinal Artery

AbstractThe aim of the study was to compare retroorbital blood flow hemodynamics between subconjunctival and sub-Tenon’s anesthesia. This was a prospective, blinded study and included 80 cases. Patients were monitored and treated in the First Ophthalmology Clinic, Ataturk Training and Research Hospital, Turkey. Sub-Tenon’s anesthesia was performed in 42 cases, and subconjunctival anesthesia was performed in 38 cases. Color Doppler imaging to measure ocular blood flow parameters was performed preoperatively and 21 days after cataract operation in each case. Preoperative and postoperative values of resistivity and pulsatility indices in the ophthalmic, central retinal, and short posterior ciliary arteries were compared. Postoperative mean blood flow velocity measurements of ophthalmic artery were not statistically different between the subconjunctival anesthesia group and the sub-Tenon’s anesthesia group (49.63 ± 14.00 vs. 45.85 ± 13.41; P=0.389). Postoperative RI values were higher in the Subtenon’s anesthesia group than in the subconjunctival anesthesia group, but the difference between two groups was not statistically significant (0.81 ± 0.14 vs. 0.74 ± 0.08; P=0.079). The postoperative pulsatility index of the ophthalmic artery, RI of ophthalmic artery, pulsatility index of the central retinal artery, RI of the central retinal artery, and pulsatility index of the posterior ciliary arteries were not significantly different between the subconjunctival and sub-Tenon’s anesthesia groups. In conclusion, the study suggests that postoperative retroorbital blood flow hemodynamics are the same following sub-Tenon’s and subconjunctival anesthesia.

scholarly journals Comparison of Color Doppler Imaging Criteria for the Ophthalmic Artery and Central Retinal Artery in Infants with Retinopathy of Prematurity with and Without Plus Disease

2021 ◽  
Vol 18 (2) ◽  
Author(s):  
Marzieh Soleimani ◽  
Seyed Ehsan Ghetmiri ◽  
Mohammad Hossein Ahrar Yazdi
Keyword(s):  
Retinopathy Of Prematurity ◽  
Ophthalmic Artery ◽  
Color Doppler ◽  
Resistance Index ◽  
Color Doppler Imaging ◽  
Central Retinal Artery ◽  
Doppler Imaging ◽  
Significant Difference ◽  
Retinal Artery ◽  
The Mean

Background: Color Doppler imaging (CDI) is a non-aggressive and safe technique for the clinical management of retinal diseases. Recently, the number of infants with retinopathy of prematurity (ROP) has increased due to the incidence of premature births. Objectives: This study aimed to compare the CDI criteria for the ophthalmic artery (OA) and central retinal artery (CRA) in ROP infants with and without plus disease. Patients and Methods: In this case-control study, 42 premature infants (21 infants with plus disease and 21 infants without plus disease) underwent CDI. The arterial CDI parameters, including end-diastolic velocity (EDV), pulsatility index (PI), resistance index (RI), and peak systolic velocity (PSV), were measured in these patients. After collecting the data, t-test and chi-square tests were used for data analysis. P < 0.05 was considered to be statistically significant. Results: The mean EDV of CRA in patients with and without plus disease was 4.35 ± 1.00 and 5.27 ± 1.02 cm/sec, respectively (P = 0.005). The mean PSV of CRA in patients with and without plus disease was 15.65 ± 3.35 and 18.39 ± 4.39 cm/sec, respectively (P = 0.029). However, no significant difference was found between the two groups in terms of PSV or EDV of OA (P > 0.05). Also, no significant difference was observed between the two groups considering the RI and PI of CRA and OA (P > 0.05). Conclusion: According to the findings of this study, CDI criteria, such as EDV and PSV of CRA, were significantly lower in infants with plus disease as compared to those without plus disease. Since detecting the early stages of plus disease is a challenge for ophthalmologists, assessment of these criteria can be helpful for differentiation of these two subgroups of patients. However, further studies with a larger sample size are needed to determine the cutoff value.

The effect of increased intraoperative intraocular pressure on blood flow in the central retinal artery and posterior short ciliary arteries during phacoemulsification

2020 ◽  
pp. 147-148
Author(s):  
R.B. Shliakman ◽  
◽  
Y.V. Takhtaev ◽  
T.N. Kiseleva ◽  
◽  
...  
Keyword(s):  
Blood Flow ◽  
Intraocular Pressure ◽  
Vision System ◽  
Central Retinal Artery ◽  
Ciliary Arteries ◽  
Retinal Artery

Актуальность. Принципом факоэмульсификации является поддержание баланса ирригационно-аспирационных потоков. Баланс достигается за счет различных систем подачи жидкости, позволяющих хирургу задавать и поддерживать постоянный уровень ВГД во время операции. Вопрос об оптимальном безопасном уровне ВГД во время вмешательства на сегодняшний день остается открытым. Цель. Оценить влияние повышенного уровня интраоперационного офтальмотонуса на скорость кровотока в центральной артерии, вене сетчатки, и задних коротких цилиарных артериях. Материал и методы. В исследование было включено 29 пациентов с начальной катарактой. Факоэмульсификация выполнялась на приборе Alcon Centurion vision system на предустановленном интраоперационном уровне ВГД 60 мм.рт.ст. Скорость кровотока измеряли путем дуплексного сканирования в режиме ЦДК трёхкратно: до вскрытия глазного яблока, интраоперационно на уровне ВГД (58.77±8.28 мм.рт. ст) и сразу после герметизации доступа и нормализации ВГД. Каждое измерение сопровождалось контролем ВГД и АД. Результаты. При значении уровня ВГД 58.77±8.28 мм.рт. ст в ЦАС и ЗКЦА отмечалось статистически достоверное снижение максимальной систолической скорости кровотока. С 12,62±3,07 до 9,93±2,77 см/с и снижение конечной диастолической скорости кровотока с 3,94±1,09 до 1,79±1,64 см/с. В 11 из 29 (37,9%) случаев скорость кровотока в ЦАС в диастолическую фазу не регистрировалась. Максимальная систолическая скорость кровотока в ЗКЦЛА снизилась на 22%. Конечная диастолическая снизилась с 5,11±1,83 до 2,97±1,27 см/с. Аналогично, максимальная систолическая скорость кровотока с медиальной стороны упала с 12,37±2,74 до 9,50±1,68 см/с, а конечная диастолическая скорость кровотока снизилась с 4,54±1,35 до 2,73± 0,91 см/с. Скорость кровотока в ЦВС менялась незначительно и не зависела от уровня ВГД. Выводы. На уровне ВГД 58.77±8.28 мм. рт. ст. у человека отсутствуют компенсаторные механизмы ауторегуляции глазного кровотока в ответ на резкое повышение интраоперационного уровня ВГД, вплоть до полного прекращения кровотока в ЦАС в диастолическую фазу, что может приводить к ишемии тканей сетчатки.

Effect of Intravitreal Aflibercept on Central Retinal Arterial Blood Flow in Type 1 Retinopathy of Prematurity

2017 ◽  
Vol 27 (6) ◽  
pp. 751-755 ◽  
Author(s):  
Emine A. Sukgen ◽  
Gökhan Söker ◽  
Yusuf Koçluk ◽  
Bozkurt Gülek
Keyword(s):  
Blood Flow ◽  
Retinopathy Of Prematurity ◽  
Color Doppler ◽  
Color Doppler Imaging ◽  
Doppler Imaging ◽  
Intravitreal Aflibercept ◽  
Retinal Artery ◽  
The Mean ◽  
Type 1 Rop

Purpose To evaluate the blood flow changes of the central retinal artery measured with color Doppler imaging (CDI) in infants receiving intravitreal aflibercept (IVA) for treatment of type 1 retinopathy of prematurity (ROP). Methods Patients with type 1 ROP were assessed prospectively by CDI following IVA. Color Doppler imaging was used to measure the peak systolic velocity, end diastolic velocity (EDV), pulsatility index (PI), and resistivity index (RI) of the central retinal artery (CRA) before IVA injection and 1 hour, 1 week, and 1 month after injection. Results A total of 29 eyes of 15 infants were included in this study. The mean gestational age at birth was 28.62 ± 2.48 weeks and the mean birthweight was 1,198.62 ± 348.99 g. All treated eyes showed complete regression of ROP and peripheral retinal vascularization continued. Measurements of EDV-CRA, RI-CRA, and PI-CRA showed significant changes after IVA treatment. Conclusions This study showed that IVA is an effective treatment for type 1 ROP. After IVA treatment, vascular resistance increases, ocular blood flow decreases, and changes in hemodynamic parameters of CRA may remain for a month. Further studies are needed to evaluate the effect of anti-vascular endothelial growth factor agents on ocular hemodynamics in infants with ROP.

scholarly journals Associating the biomarkers of ocular blood flow with lamina cribrosa parameters in normotensive glaucoma suspects. Comparison to glaucoma patients and healthy controls

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248851
Author(s):  
Patrycja Krzyżanowska-Berkowska ◽  
Karolina Czajor ◽  
D. Robert Iskander
Keyword(s):  
Blood Flow ◽  
Ophthalmic Artery ◽  
Lamina Cribrosa ◽  
Ocular Blood Flow ◽  
Central Retinal Artery ◽  
Healthy Controls ◽  
Mean Flow ◽  
Posterior Ciliary Artery ◽  
Retinal Artery ◽  
Ciliary Artery

Purpose To evaluate association between ocular blood flow biomarkers and lamina cribrosa parameters in normotensive glaucoma suspects compared to glaucoma patients and healthy controls. Methods A total of 211 subjects (72 normotensive glaucoma suspects, 70 with primary open-angle glaucoma and 69 controls) were included. Ocular blood flow biomarkers in ophthalmic artery, central retinal artery, as well as in nasal and temporal short posterior ciliary arteries were measured using colour Doppler imaging. Lamina cribrosa position was assessed by measuring its depth, deflection depth, lamina cribrosa shape index and its horizontal equivalent (LCSIH) on B-scan images obtained using optical coherence tomography. Results Ocular blood flow biomarkers in glaucoma patients were statistically significantly reduced when compared to healthy controls in peak systolic velocity (PSV) (P = 0.001 in ophthalmic artery and P<0.001 in central retinal artery) and mean flow velocity (Vm) (P = 0.008 in ophthalmic artery and P = 0.008 in central retinal artery), but not statistically significantly different to that of glaucoma suspects except for PSV in central retinal artery (P = 0.011). Statistically significant correlations corrected for age, central corneal thickness and intraocular pressure were found in glaucoma patients between LCSIH and end diastolic velocity of central retinal artery (P = 0.011), and of nasal short posterior ciliary artery (P = 0.028), and between LCSIH and Vm of central retinal artery (P = 0.011) and of nasal short posterior ciliary artery (P = 0.007). No significant correlations were observed between these parameters in glaucoma suspects and healthy controls. Conclusions Impaired ocular blood flow associated with the deformation of lamina cribrosa was found in glaucoma patients, whereas glaucoma suspects had similar lamina cribrosa shape to glaucoma patients but that deformation was not associated with ocular blood flow biomarkers.

Predictive value of color Doppler imaging of central retinal artery in outcome of corneal graft

2014 ◽  
Vol 92 ◽  
pp. 0-0
Author(s):  
N AMAOUCHE ◽  
P KOSKAS ◽  
A FADLALLAH ◽  
I COCHEREAU ◽  
O BERGES ◽  
...  
Keyword(s):  
Predictive Value ◽  
Color Doppler ◽  
Color Doppler Imaging ◽  
Central Retinal Artery ◽  
Corneal Graft ◽  
Doppler Imaging ◽  
Retinal Artery
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