Cataract
Conditions
Keywords
Cataract surgery, Frailty
Brief summary
The primary aim of the study is to investigate the correlation between preoperative hemodynamics and frailty scores in patients undergoing cataract surgery under general anesthesia. The secondary objective is to explore the relationship between preoperative and postoperative intraocular pressure changes and frailty scores.
Detailed description
Cataract stands as a significant cause of vision impairment worldwide, notably prevalent among the elderly. This study aims to explore the changes in intraocular pressure (IOP) and blood pressure under general anesthesia during cataract surgery in frail geriatric patients. The research emphasizes the critical role of frailty assessment in determining surgical risks among elderly surgical patients. It focuses on the hypothesis that frail individuals undergoing cataract surgery under general anesthesia might experience more pronounced effects on IOP and blood pressure during the surgical procedure compared to prefrail counterparts. This study emerges as a crucial step in understanding the impact of preoperative frailty assessment on surgical planning and outcomes.
Interventions
OTHERIntraocular pressure (IOP) was measured
The Frail Scale was used to assess the frailty of the patients.Intraocular pressure (IOP) was measured before anesthesia, 5 minutes after induction of anesthesia and 1 hour postoperatively. IOP was measured using a Tono-pen tonometer (AccuPen). The normal range of IOP is 11-21 mmHg (mean 16 mmHg) and values above 24 mmHg are pathologic.
Sponsors
Umraniye Education and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* 65-85 age * ASA I-III * cataract surgery with genel anesthesia
Exclusion criteria
* cerebrovascular disease, * mental retardation and psychiatric illness, * pulmonary infection, history of advanced COPD or respiratory failure, * EF less than 40%, presence of cardiovascular disease, * bleeding diathesis, * renal and hepatic insufficiency, * presence of diabetes mellitus, diuretic/mannitol users, * substance abuse * BMI \>30
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraocular pressure during genel anesthesia | through study completion, an average of 1 day | intraocular pressure (mmHg) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hemodynamic data | through study completion, an average of 1 day | mean arterial pressure (mmHg) |
Countries
Turkey (Türkiye)
Contacts
Primary Contactzeliha tuncel
Outcome results
None listed