리바운드 안압계를 이용한 트렌델렌버그 자세에서의 안압 변화의 측정

다국어 초록 (Multilingual Abstract)

Purpose: This study was carried out to evaluate the postural intraocular pressure (IOP) change in Trendelenburg, reverse Trendelenburg, and supine positions in healthy young males. Methods: We measured the IOP values of 5 healthy young male volunteers (10 eyes) using an Icare PRO rebound tonometer in sitting, Trendelenburg, reverse Trendelenburg, and supine positions. Results: The mean IOP in the supine position (18.63 mm Hg) was significantly higher (p < 0.01) than in the sitting position (15.31 mm Hg). When maintaining the Trendelenburg position, IOP gradually increased. Conclusions: In our study, the Trendelenburg position significantly increased the IOP compared to that in the supine position. The effects of increased IOP should be considered in situations that require Trendelenburg positioning, such as exercise or surgery. J Korean Ophthalmol Soc 2014;55(2):247-251

참고문헌 (Reference)

1 이종수, "한국인의 정상 안압과 연령 및 비만지수와의 상관관계" 대한안과학회 44 (44): 13-1566, 2003

2 Anderson DR, "The influence of position on intraocular pressure" 12 : 204-212, 1973

3 Awad H, "The effects of steep trendelenburg positioning on intraocular pressure during robotic radical prostatectomy" 109 : 473-478, 2009

4 Lee JY, "The effect of lateral decubitus position on intraocular pressure in patients with untreated open-angle glaucoma" 155 : 329-35.e2-, 2013

5 Lee JY, "The effect of lateral decubitus position on intraocular pressure in healthy young subjects" 90 : e68-e72, 2012

6 Kass MA, "The Ocular Hypertension Treatment Study: a randomized trial determines that topical ocular hypotensive medication delays or prevents the onset of primary open-angle glaucoma" 120 : 701-830, 2002

7 Martinez-de-la-Casa JM, "Reproducibility and clinical evaluation of rebound tonometry" 46 : 4578-4580, 2005

8 Heijl A, "Reduction of intraocular pressure and glaucoma progression:results from the Early Manifest Glaucoma Trial" 120 : 1268-1279, 2002

9 Tsukahara S, "Postural change of IOP in normal persons and in patients with primary wide open-angle glaucoma and low-tension glaucoma" 68 : 389-392, 1984

10 Weber ED, "Posterior ischemic optic neuropathy after minimally invasive prostatectomy" 27 : 285-287, 2007

11 Gartner S, "Ocular tension in the trendelenburg position" 59 : 1040-1043, 1965

12 Moraine JJ, "Is cerebral perfusion pressure a major determinant of cerebral blood flow during head elevation in comatose patients with severe intracranial lesions?" 92 : 606-614, 2000

13 Nardi M, "Intraocular pressure changes in secondary positions of gaze in normal subjects and in restrictive ocular motility disorders" 226 : 8-10, 1988

14 이국, "Icare Rebound Tonometer와 Goldmann 압평 안압계의 비교" 대한안과학회 54 (54): 296-302, 2013

15 Carlson KH, "Effect of body position on intraocular pressure and aqueous flow" 28 : 1346-1352, 1987