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Intraocular pressure in children after congenital heart surgery: A single-center study

BACKGROUND: The impact of varied cardiac physiologies on intraocular pressure (IOP) among children undergoing heart operations is unknown. AIM: The aim of this study was to determine the IOP among children with varying cardiovascular physiologies and varying hemodynamics after their heart operation....

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Autores principales: Goyal, Sunali, Phillips, Paul H, Corder, Lamonda A, Robertson, Michael J, Garcia, Xiomara, Schmitz, Michael L, Gupta, Punkaj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594933/
https://www.ncbi.nlm.nih.gov/pubmed/28928608
http://dx.doi.org/10.4103/apc.APC_41_17
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author Goyal, Sunali
Phillips, Paul H
Corder, Lamonda A
Robertson, Michael J
Garcia, Xiomara
Schmitz, Michael L
Gupta, Punkaj
author_facet Goyal, Sunali
Phillips, Paul H
Corder, Lamonda A
Robertson, Michael J
Garcia, Xiomara
Schmitz, Michael L
Gupta, Punkaj
author_sort Goyal, Sunali
collection PubMed
description BACKGROUND: The impact of varied cardiac physiologies on intraocular pressure (IOP) among children undergoing heart operations is unknown. AIM: The aim of this study was to determine the IOP among children with varying cardiovascular physiologies and varying hemodynamics after their heart operation. SETTING AND DESIGN: This was a prospective, observational study. MATERIALS AND METHODS: Patients ≤18 years undergoing congenital heart surgery were included in this study. IOP measurement was performed by Icare® tonometer between 3 and 14 days after heart operation. STATISTICAL ANALYSIS: Summary statistics were estimated for all demographic, anthropometric, and clinical data. RESULTS: A total of 116 eyes from 58 children were included. The mean and standard deviation age was 28.4 (45.8) months. Single-ventricle anatomy was present in 26 patients (45%). Despite similar heart rate and blood pressure, the mean IOP among the patients with single-ventricle anatomy was significantly elevated as compared to patients with two-ventricle anatomy (18 mm Hg vs. 12 mm Hg, P < 0.001). There was no difference in IOP measurements based on the complexity of operation performed. We noted that patients undergoing surgical palliation with central shunt (21 mm Hg), Fontan operation (19 mm Hg), bidirectional Glenn operation (19 mm Hg), Norwood operation (19 mm Hg), or definitive repairs such as tetralogy of Fallot repair (17 mm Hg), and atrioventricular canal repair (19 mm Hg) were associated with the highest IOPs in the study cohort. CONCLUSIONS: This study demonstrates that IOPs vary with varying cardiovascular physiology after pediatric cardiac surgery.
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spelling pubmed-55949332017-09-19 Intraocular pressure in children after congenital heart surgery: A single-center study Goyal, Sunali Phillips, Paul H Corder, Lamonda A Robertson, Michael J Garcia, Xiomara Schmitz, Michael L Gupta, Punkaj Ann Pediatr Cardiol Original Article BACKGROUND: The impact of varied cardiac physiologies on intraocular pressure (IOP) among children undergoing heart operations is unknown. AIM: The aim of this study was to determine the IOP among children with varying cardiovascular physiologies and varying hemodynamics after their heart operation. SETTING AND DESIGN: This was a prospective, observational study. MATERIALS AND METHODS: Patients ≤18 years undergoing congenital heart surgery were included in this study. IOP measurement was performed by Icare® tonometer between 3 and 14 days after heart operation. STATISTICAL ANALYSIS: Summary statistics were estimated for all demographic, anthropometric, and clinical data. RESULTS: A total of 116 eyes from 58 children were included. The mean and standard deviation age was 28.4 (45.8) months. Single-ventricle anatomy was present in 26 patients (45%). Despite similar heart rate and blood pressure, the mean IOP among the patients with single-ventricle anatomy was significantly elevated as compared to patients with two-ventricle anatomy (18 mm Hg vs. 12 mm Hg, P < 0.001). There was no difference in IOP measurements based on the complexity of operation performed. We noted that patients undergoing surgical palliation with central shunt (21 mm Hg), Fontan operation (19 mm Hg), bidirectional Glenn operation (19 mm Hg), Norwood operation (19 mm Hg), or definitive repairs such as tetralogy of Fallot repair (17 mm Hg), and atrioventricular canal repair (19 mm Hg) were associated with the highest IOPs in the study cohort. CONCLUSIONS: This study demonstrates that IOPs vary with varying cardiovascular physiology after pediatric cardiac surgery. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5594933/ /pubmed/28928608 http://dx.doi.org/10.4103/apc.APC_41_17 Text en Copyright: © 2017 Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Goyal, Sunali
Phillips, Paul H
Corder, Lamonda A
Robertson, Michael J
Garcia, Xiomara
Schmitz, Michael L
Gupta, Punkaj
Intraocular pressure in children after congenital heart surgery: A single-center study
title Intraocular pressure in children after congenital heart surgery: A single-center study
title_full Intraocular pressure in children after congenital heart surgery: A single-center study
title_fullStr Intraocular pressure in children after congenital heart surgery: A single-center study
title_full_unstemmed Intraocular pressure in children after congenital heart surgery: A single-center study
title_short Intraocular pressure in children after congenital heart surgery: A single-center study
title_sort intraocular pressure in children after congenital heart surgery: a single-center study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594933/
https://www.ncbi.nlm.nih.gov/pubmed/28928608
http://dx.doi.org/10.4103/apc.APC_41_17
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