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Dynamic Intraocular Pressure Measurements During Vitrectomy
Louise C. Moorhead, MD;
Thomas W. Gardner, MD, MS;
H. Michael Lambert, MD;
Ronan E. O’Malley, MD;
Arthur W. Willis, MD;
Louis S. Meharg, PhD;
William D. Moorhead, PhD
Arch Ophthalmol. 2005;123:1514-1523.
Objectives To directly measure dynamic intraocular pressure (IOP) during vitrectomy and to determine whether disposable pressure transducers placed in the infusion line can indirectly measure with accuracy the dynamic IOP during vitrectomy.
Methods Experimental clinical study of 10 patients undergoing vitrectomy. Dynamic IOP was sampled via an extra pars plana incision with a catheter transducer equipped to measure direct IOP during vitrectomy by attaching a metal flange near the pressure-sensing tip. Disposable blood pressure transducers were placed in the infusion tubing fluid path to determine the IOP by indirect means. During various maneuvers of vitrectomy including air-fluid exchange and gas-forced infusion, pressure measurements were taken simultaneously from the indwelling pressure transducer and the disposable blood pressure sensors in the infusion line.
Results The directly measured IOP varied between 0 and 120 mm Hg during vitrectomy. During fluid flow, the indirectly measured IOP, calculated from the infusion line pressures, accurately corresponded with the directly measured IOP.
Conclusions Closed vitrectomy causes wide fluctuations in IOP. The IOP can be accurately measured during fluid flow with inline sensors.
Author Affiliations: Armoor Ophthalmics Inc, Houston, Tex (Drs L. Moorhead and W. Moorhead); Departments of Ophthalmology and Cellular and Molecular Physiology, Penn State Milton S. Hershey Medical Center, Hershey, Pa (Dr Gardner); Weill Cornell Medical School, Uniformed Services University of Health Sciences (Dr Lambert); Baylor College of Medicine (Dr Lambert), Retina and Vitreous of Texas (Drs Lambert and Willis), O’Malley and O’Malley Retina Associates (Dr O'Malley), and LM Engineering (Dr Meharg), Houston.
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