The Effect of Intranasal Pressure on Intraocular Pressure

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Authors

  • Esra Türkseven Kumral Department of Ophthalmology, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey
  • Burak Erden Department of Ophthalmology, Okmeydanı Training and Research Hospital, Istanbul, Turkey
  • Nimet Yeşim Erçalık Department of Ophthalmology, Haydarpaşa Numune Training and Research Hospital, Istanbul, Turkey
  • Elvan Alper Şengü Stanbul Bilim University Ophthalmology Clinic, Istanbul, Turkey
  • Çetin Akpolat Department of Ophthalmology, Okmeydanı Training and Research Hospital, Istanbul, Turkey
  • Erdi Özdemir Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey
  • Tolgar Lütfi Kumral Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey
  • Ziya Saltürk Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydanı Training and Research Hospital, Istanbul, Turkey

DOI:

https://doi.org/10.17140/OOJ-2-110

Keywords:

Intranasal pressure; Intraocular pressure; Nasal packing; Glaucoma.

Abstract

Purpose: The aim of this study was to evaluate intraocular pressure (IOP) after the application
of the nasal packing for sinonasal surgery.
Methods:A total of 40 patients who underwent sinonasal surgery were enrolled in this prospective
study. Patients were randomly assigned into two groups: gauze packing (group 1) and silicone
nasal septal splint (group 2). All participants completed a comprehensive questionnaire and
underwent an ocular examination including measurement of IOP by Goldmann applanation
tonometry (GAT). All the measurements were repeated before removing the nasal packings.
IOP measurements before the operation and during the nasal packing were compared with each
other.
Results: The study group comprised 21 males (52.5 %) and 19 females (47.5%). The mean age
was 29.10±8.18 years (median 27.50) (min-max=18-51). Twenty-three (57.5%) had silicone
nasal packing while 17 (42.5%) had gauze nasal packing. Mean nasal packing duration was
2.575±0.712 days. The post-operative increase in the intraocular pressure of the both eyes were
not statistically significant (p>0.05). IOPs of the patients’ eyes showed no significant increase,
compared to the pre-operative results according to the type of nasal packing used (p>0.05).
Conclusions: Increased intranasal pressure due to nasal packing did not increase intraocular
pressure. The type of the nasal packing also did not differ to increase the intraocular pressure.

References

Acıoğlu E, Edizer DT, Yiğit Ö, Onur F, Alkan Z. Nasal septal packing: Which one? Eur Arch Otorhinolaryngol. 2012; 269: 1777-1781. doi: 10.1007/s00405-011-1842-1

Mackeith S, Hettige R, Falzon A, Draper M. The relationship between pressure and volume when using Rapid Rhino® packs in the management of epistaxis. Rhinology. 2011; 49: 470-473.

Buus DR, Tse DT, Farris BK. Ophthalmic complications of sinus surgery. Ophthalmology. 1990; 97: 612-619. doi: 10.1016/ S0161-6420(90)32535-6

Tamm ER. The trabecular meshwork outflow pathways: Structural and functional aspects. Exp Eye Res. 2009; 88: 648- 655. doi: 10.1016/j.exer.2009.02.007

Gazzard G, Foster PJ, Devereux JG, et al. Intraocular pressure and visual field loss in primary angle closure and primary open angle glaucomas. Br J Ophthalmol. 2003; 87: 720-725.

Musch DC, Gillespie BW, Niziol LM, Lichter PR, Varma R; CIGTS Study Group. Intraocular pressure control and long-term visual field loss in the Collaborative Initial Glaucoma Treatment Study. Ophthalmology. 2011; 118: 1766-1773. doi: 10.1016/j. ophtha.2011.01.047

Rojanapongpun P, Drance SM, Morrison BJ. Ophthalmic ar-tery flow velocity in glaucomatous and normal subjects. Br J Ophthalmol. 1993; 77: 25-29.

Shareef SR, Garcia-Valenzuela E, Salierno A, Walsh J, Shar-ma SC. Chronic ocular hypertension following episcleral venous occlusion in rats. Exp Eye Res. 1995; 61: 379-382. Web site. http://www.academia.edu/3332753/Chronic_ocular_hypertensi-on_following_episcleral_venous_occlusion_in_rats. Accessed May 9, 2017.

Reitsamer HA, Kiel JW. A rabbit model to study orbital venous pressure, intraocular pressure, and ocular hemodynamics simultaneously. Invest Ophthalmol Vis Sci. 2002; 43: 3728-3734.

Caprioli J, Coleman AL. Blood flow in glaucoma discussion. blood pressure, perfusion pressure, and glaucoma. Am J Oph-thalmol. 2010; 149: 704-712. doi: 10.1016/j.ajo.2010.01.018

Vaajanen A, Mervaala E, Oksala O, Vapaatalo H. Is there a relationship betweenblood pressure and intraocular pressure? An experimental study in hypertensiverats. Curr Eye Res. 2008; 33: 325-332. doi: 10.1080/02713680802011679

Klein BE, Klein R, Knudtson MD. Intraocular pressure and systemic blood pressure: Longitudinal perspective: The Beaver Dam Eye Study. Br J Ophthalmol. 2005; 89: 284–287. doi: 10.1136/bjo.2004.048710

Fukui, K, Ahmad, M, McHugh, T, et al. The effect of head el-evation on intraocular pressure in anesthetized patients undergo-ing prone position spine surgery. J Neurosurg Anesthesiol. 2004; 16: 358. doi: 10.1590/S0034-70942013000200009

Carey TW, Shaw KA, Weber ML, DeVine JG. Effect of the degree of reverse Trendelenburg position on intraocular pressure during prone spine surgery: A randomized controlled trial. Spine J. 2014; 14: 2118-2126.

Li JC, Gupta VK, You Y, Ng KW, Graham SL. The dynamic response of intraocular pressure and ocular pulse amplitude to acute hemodynamic changes in normal and glaucomatous eyes. Invest Ophthalmol Vis Sci. 2013; 54: 6960-6967. doi: 10.1167/ iovs.13-12405

Ekinci B, Koktekir E, Kal A, Karalezli A. Proptosis, congestion, and secondary glaucoma due to carotid-cavernous fistula after embolization. J Craniofac Surg. 2011; 22: 1963- 1965. doi: 10.1097/SCS.0b013e31822ea840

Lin PW, Lin HC, Chang HW, Su CY. Effects of functional endoscopic sinus surgery on intraocular pressure. Arch Otolar-yngol Head Neck Surg. 2007; 133(9): 865-869. doi: 10.1001/ archotol.133.9.865

Asaka D, Yoshikawa M, Okushi T, Nakayama T, Otori N, Moriyama H. Nasal splinting using silicone plates without gauze packing following septoplasty combine with inferior turbinate surgery. Auris Nasus Larynx. 2012; 39: 53-58. doi: 10.1016/j. anl.2011.01.024

Published

2017-06-07

How to Cite

Esra Türkseven Kumral, Burak Erden, Nimet Yeşim Erçalık, Elvan Alper Şengü, Çetin Akpolat, Erdi Özdemir, … Ziya Saltürk. (2017). The Effect of Intranasal Pressure on Intraocular Pressure. The Ophthalmology, 27–31. https://doi.org/10.17140/OOJ-2-110

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