TY  - JOUR
T1  - COMPARISON OF THE EFFECTS OF GENERAL AND SPINAL ANESTHESIA ON INTROCULAR PRESSURE IN THE LUMBAR DISC SURGERY
TT  - LOMBER DİSK CERRAHİSİNDE GENEL VE SPİNAL ANESTEZİNİN INTRAOKULER BASINÇ ÜZERİNE ETKİLERİNİN KARŞILAŞTIRILMASI
AU  - Karagöz, Emre
AU  - Kazdal, Hizir
PY  - 2025
DA  - October
Y2  - 2025
JF  - Aydın Sağlık Dergisi
JO  - Aydın Sağlık
PB  - İstanbul Aydın Üniversitesi
WT  - DergiPark
SN  - 2149-5769
SP  - 219
EP  - 233
VL  - 11
IS  - 3
LA  - en
AB  - Preoperative vision loss is a rare but devastating complication. The frequency of occurrence after operations performed in the prone position, such as lumbar discectomy, can be up to 4 times that of other surgeries. Although the most common cause is reported as posterior ischemic optic neuropathy, increased intraocular pressure from the prone position may also be a cause. In our study, it was investigated whether general and spinal anesthesia would have different effects on intraocular pressure in lumbar discectomies performed in the prone position. Following approval of Local Ethics Committee, Patients aged 18-65 years, ASA1-2 risk group who were scheduled for lumbar disc hernia surgery under elective conditions were included in the study and divided into Group GA (General Anesthesia) and Group SA (Spinal Anesthesia). Demographic and operative data of the patients were recorded. Intraocular pressure measurements were performed in the preoperative supine position and It was measured at the 5th minute of the supine position after the postoperative prone position. 120 patients were included in the study, data of 77 patients were analyzed. In Group GA, postoperative intraocular pressure values increased compared to the values obtained preoperatively (p
KW  - Intraocular pressure
KW  - Prone position
KW  - Lumbar discectomy
KW  - General anesthesia
KW  - Spinal anesthesia
N2  - Perioperatif görme kaybı nadir fakat yıkıcı sonuçları olan bir komplikasyondur. Lomber diskektomi gibi pron pozisyonda gerçekleştirilen ameliyatlarda sıklığı diğer cerrahilerin 4 katına kadar çıkabilmektedir. En sık nedeni posterior iskemik optik nöropati olarak bildirilse de pron pozisyonun göz içi basıncını arttırması da bir neden olabilir. Çalışmamızda pron pozisyonda gerçekleştirilen lomber diskektomilerde genel ve spinal anestezinin intraoküler basınç üzerine farklı etki oluşturup oluşturmayacakları araştırıldı. Elektif koşullarda lomber disk herni cerrahisi planlanan 18-65yaş, ASA1-2 risk grubunda hastalar çalışmaya alındı ve Grup GA (Genel Anestezi) ve Grup SA (Spinal Anestezi) olarak ayrıldı. Hastaların demografik ve operatif verileri kaydedildi. İntraoküler basınç ölçümleri preoperatif supin pozisyonda ve postoperatif pron pozisyon sonrası supin pozisyonun 5.dakikasında ölçüldü. 120 hasta çalışmaya alındı, 77 hastanın verileri analiz edildi. Grup GA’da postoperatif intraoküler basınç değerlerinin preoperatif elde edilen değerlere göre yükseldiği (her iki göz için p
CR  - Amorim Correa JL, Acioly MA. The Enigma of Orbital Compartment Syndrome
After Lumbar Spine Surgery in the Prone Position: Case Report and
Literature Review. World neurosurgery. 2018;110:309-14.
CR  - Cheng MA, Todorov A, Tempelhoff R, McHugh T, Crowder CM, Lauryssen C.
The effect of prone positioning on intraocular pressure in anesthetized
patients. Anesthesiology. 2001;95(6):1351-5.
CR  - Epstein NE. How to avoid perioperative visual loss following prone spinal
surgery. Surg Neurol Int. 2016;7(Suppl 13):S328-30.
CR  - Harten JM, Boyne I, Hannah P, Varveris D, Brown A. Effects of a height and
weight adjusted dose of local anaesthetic for spinal anaesthesia for elective
Caesarean section. Anaesthesia. 2005;60(4):348-53.
CR  - Hassanein A, Zekrly J, Moharram H. Effect of lidocaine Instillation into
Endotracheal Tube on Intraocular Pressure during Extubation. Journal of
Anesthesia & Clinical Research. 2015;6:559.
CR  - Hatipoglu S, Abdullayev R, Kucukebe OB, Guler M, Hatipoglu F, Celik B, et al.
Intraocular Pressure Changes After Spinal Anesthesia--Acute and Subacute
Effects on Surgery Patients. Adv Clin Exp Med. 2015;24(5):857-61.
CR  - Ho VT, Newman NJ, Song S, Ksiazek S, Roth S. Ischemic optic neuropathy
following spine surgery. J Neurosurg Anesthesiol. 2005;17(1):38-44.
CR  - Leibovitch I, Casson R, Laforest C, Selva D. Ischemic orbital compartment
syndrome as a complication of spinal surgery in the prone position.
Ophthalmology. 2006;113(1):105-8.
CR  - Lyzohub MV, Georgiyants MA, Lyzohub KI, Volkova JV, Dmytriiev DV,
Dmytriiev KD. influence of anesthesia type on intraocular pressure during
spine surgery in prone position. Wiadomosci lekarskie (Warsaw, Poland :
1960). 2020;73(1):104-6.
CR  - Newman NJ. Perioperative visual loss after nonocular surgeries. American
journal of ophthalmology. 2008;145(4):604-10.
CR  - Okafor KC, Brandt JD. Measuring intraocular pressure. Current opinion in
ophthalmology. 2015;26(2):103-9.
CR  - Panon N, Luangsawang K, Rugaber C, Tongchit T, Thongsepee N, Cheaha D,
et al. Correlation between body mass index and ocular parameters. Clin
Ophthalmol. 2019;13:763-9.
CR  - Park B, Choi SW, Han S, Youm JY, Lim JW, Kwon HJ. Cushing Syndrome: A
Potential Risk of Bilateral Postoperative Ischemic Optic Neuropathy after
Lumbar Fusion. Korean J Neurotrauma. 2019;15(2):221-6.
CR  - Pierce JT, Kositratna G, Attiah MA, Kallan MJ, Koenigsberg R, Syre P, et al.
Efficiency of spinal anesthesia versus general anesthesia for lumbar
spinal surgery: a retrospective analysis of 544 patients. Local Reg Anesth.
2017;10:91-8.
CR  - Pinar HU, Kasdogan ZEA, Basaran B, Coven I, Karaca O, Dogan R. The effect
of spinal versus general anesthesia on intraocular pressure in lumbar disc
surgery in the prone position: A randomized, controlled clinical trial. J Clin
Anesth. 2018;46:54-8.
CR  - Risk factors associated with ischemic optic neuropathy after spinal fusion surgery.
Anesthesiology. 2012;116(1):15-24.
CR  - SA VANW. Systematic Review and Meta-Analysis of Prone Position on
Intraocular Pressure in Adults Undergoing Surgery. International journal
of spine surgery. 2020;14(2):195-208.
CR  - Şekeryapan B BH, Tomak Y, Türkyılmaz K, Öner V, Durmuş M. Acute Effect of
Spinal Anesthesia on Intraocular Pressure. Journal of Glaucoma-Cataract.
2013;8:185-8.
CR  - Stambough JL, Dolan D, Werner R, Godfrey E. Ophthalmologic complications
associated with prone positioning in spine surgery. J Am Acad Orthop
Surg. 2007;15(3):156-65.
CR  - Wang MY, Brewer R, Sadun AA. Posterior ischemic optic neuropathy: Perioperative
risk factors. Taiwan journal of ophthalmology. 2020;10(3):167-73.
CR  - Yagan O, Karakahya RH, Tas N, Canakci E, Hanci V, Yurtlu BS. Intraocular
pressure changes associated with tracheal extubation: Comparison of
sugammadex with conventional reversal of neuromuscular blockade. JPMA
The Journal of the Pakistan Medical Association. 2015;65(11):1219-25.
UR  - https://dergipark.org.tr/tr/pub/asder/issue//1724823
L1  - https://dergipark.org.tr/tr/download/article-file/4981267
ER  -