Ocular complications in robotic-assisted prostatectomy: A review of pathophysiology and prevention

K. M. Kan, S. E. Brown, D. M. Gainsburg

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Ocular complications reported after robotic-assisted laparoscopic radical prostatectomy (RALP) include corneal abrasion and ischemic optic neuropathy. While corneal abrasions often resolve without permanent sequelae, scarring or infection can occasionally lead to vision loss and other adverse outcomes. The rare complication of ischemic optic neuropathy leads to permanent vision loss and is a devastating outcome of non-ocular surgery. Given the unique patient positioning of steep Trendelenburg during these operations, ocular complications may be more likely to occur secondary to physiologic changes that occur within the eye itself. A review of the pathophysiology and incidence of ocular complications specific to robotic-assisted laparoscopic prostatectomy as well as the potential preventative measures in the current literature is presented to further inform and guide perioperative patient care. In addition we address other potential ocular complications and the impact of patient's ocular history on choice of RALP as a surgical treatment modality.

Original languageEnglish
Pages (from-to)557-566
Number of pages10
JournalMinerva Anestesiologica
Volume81
Issue number5
StatePublished - 1 May 2015

Keywords

  • Eye diseases
  • Laparoscopy
  • Prostatic neoplasms

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