Blood pressure change during phacoemulsification and femtosecond laser-assisted cataract surgery

Hung-Yuan Lin; Ching-Jen Tung; Guo-Xing Xu; Chun-Chi Wang; Hsin-Yang Chen; Ya-Jung Chuang; Wen-Fu Li; Pi-Jung Lin

doi:10.18240/ijo.2016.11.12

International Journal of Ophthalmology (Nov 2016)

Blood pressure change during phacoemulsification and femtosecond laser-assisted cataract surgery

Hung-Yuan Lin,
Ching-Jen Tung,
Guo-Xing Xu,
Chun-Chi Wang,
Hsin-Yang Chen,
Ya-Jung Chuang,
Wen-Fu Li,
Pi-Jung Lin

Affiliations

Hung-Yuan Lin: Department of Ophthalmology, Universal Eye Center, Zhong-Li, Taiwan, China; Department of Optometry, Central Taiwan University of Science and Technology, Taiwan, China; Department of Ophthalmology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350003, Fujian Province, China
Ching-Jen Tung: Department of Ophthalmology, Universal Eye Center, Taipei, Taiwan, China
Guo-Xing Xu: Department of Ophthalmology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350003, Fujian Province, China
Chun-Chi Wang: Department of Ophthalmology, Universal Eye Center, Taipei, Taiwan, China
Hsin-Yang Chen: Department of Ophthalmology, Universal Eye Center, Taipei, Taiwan, China; Department of Ophthalmology, Ningbo First Hospital, Ningbo 315000, Zhejiang Province, China
Ya-Jung Chuang: Department of Ophthalmology, Universal Eye Center, Taipei, Taiwan, China
Wen-Fu Li: Department of Ophthalmology, Universal Eye Center, Taipei, Taiwan, China
Pi-Jung Lin: Department of Ophthalmology, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350003, Fujian Province, China; Department of Ophthalmology, Universal Eye Center, Taipei, Taiwan, China

DOI: https://doi.org/10.18240/ijo.2016.11.12
Journal volume & issue: Vol. 9, no. 11
pp. 1614 – 1618

Abstract

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AIM: To evaluate blood pressure (BP) changes during phacoemulsification (PC) and femtosecond laser (FSL)-assisted cataract surgery. METHODS: A retrospective chart review was performed for all patients who received traditional phacoemulsification surgery (PC group) and FSL-assisted cataract surgery (FS group) from July 2013 to December 2014. Totally 206 eyes from 133 patients receiving the two types of procedures were included. Patient characteristics (age, gender, and hypertension history), pre- and post-operative BPs were collected. RESULTS: The pro-operative systolic and diastolic BPs (mm Hg) were 124.89±20.48 vs 126.98±16.85, and 71.88±9.81 vs 73.56±10.03, in PC and FS groups, respectively. While the post-operative systolic and diastolic BPs (mm Hg) were 130.13±22.59 vs 134.77±17.52, and 73.41±11.62 vs 78.89±12.2, in PC and FS groups, respectively. Paired-sample t-tests showed obvious systolic and diastolic BP elevations in FS group after surgery (P=0.001 and 0.007) and no reliability in PC group (P=0.094 and 0.359). A linear regression model revealed systolic and diastolic BP elevations, which were related to longer surgical times for FS group (P=0.008 and 0.021). Age, gender, and hypertension history were not correlated with blood pressure elevation in either group. CONCLUSION: BP increases but at a limited level after FSL-assisted cataract surgery compared to traditional phacoemulsificationKEYWORDS: cataract surgery; blood pressure; femtosecond-assisted cataract surgery; phacoemulsification

Published in International Journal of Ophthalmology

ISSN: 2222-3959 (Print); 2227-4898 (Online)
Publisher: Press of International Journal of Ophthalmology (IJO PRESS)
Country of publisher: China
LCC subjects: Medicine: Ophthalmology
Website: http://www.ijo.cn/gjyken/ch/index.aspx

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