PMID: 3516335Mar 1, 1986

Intraocular pressure--physiology and implications for anaesthetic management

Canadian Anaesthetists' Society Journal
A J Cunningham, P Barry

Abstract

The major factors controlling intraocular pressure during surgery are the dynamic balance between aqueous humour production in the ciliary body and its elimination via the canal of Schlemm; the auto-regulation and chemical control of choridal blood volume; the extraocular muscle tone and vitreous humour volume. Prior to surgical incision of the anterior chamber in open intraocular procedures, a low-normal intraocular pressure is mandatory to avoid the hazards of iris or lens prolapse and vitreous loss associated with sudden decompression. In general, the central nervous system depressant drugs, hypnotics, narcotics, major tranquillizers, volatile anaesthetic agents are associated with a reduction in intraocular pressure, with the exception of ketamine and possibly trichloroethylene. The mechanism of action of anaesthetic agents in reducing intraocular pressure may involve a direct effect on central diencephalic control centres, reduction of aqueous production, facilitation of aqueous drainage or relaxation of extraocular muscle tone. Succinylcholine administration is associated with a significant rise in intraocular pressure, with a peak increase between two to four minutes following administration and a return to base line val...Continue Reading

References

Oct 1, 1979·British Journal of Anaesthesia·G DobbJ G Williams
May 1, 1977·Survey of Ophthalmology·W G Self, P P Ellis
Aug 1, 1978·Archives of Ophthalmology·K Iwamoto, H Schwartz
Mar 1, 1979·The British Journal of Ophthalmology·A P AdamsJ D Henville
Nov 1, 1979·Canadian Anaesthetists' Society Journal·H N KonchigeriK Venugopal
Nov 1, 1979·Canadian Anaesthetists' Society Journal·R B SmithN Leano
Nov 1, 1979·Canadian Anaesthetists' Society Journal·E M BrownB G Smiler
Feb 1, 1978·Anaesthesia·R K MirakhurJ R McDonald
Apr 1, 1978·British Journal of Anaesthesia·J C RuncimanJ W Downing
Nov 1, 1976·Anesthesia and Analgesia·B AusinschN S Levy
Jun 1, 1975·Anesthesiology·R W LitwillerE L Rushia
Feb 1, 1975·The British Journal of Ophthalmology·M H al-Abrak, J R Samuel
May 1, 1975·Archives of Ophthalmology·G L WolfI Berlin
Jul 1, 1975·Anesthesia and Analgesia·C Joshi, D L Bruce
Nov 1, 1975·Anesthesiology·M PeulerJ F Arens
Apr 1, 1985·Anesthesiology·S SchwarzF F Foldes
Apr 1, 1986·Masui. The Japanese journal of anesthesiology·T AokiF F Foldes
Jan 1, 1985·Canadian Anaesthetists' Society Journal·W G DohertyD R Bevan
May 1, 1985·Anesthesiology·M M LibonatiN Ellison
Nov 1, 1985·Anesthesia and Analgesia·J LermanE I Eger
Jan 1, 1973·International Ophthalmology Clinics·E Aboul-Eish
Jan 1, 1967·Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie. Albrecht Von Graefe's Archive for Clinical and Experimental Ophthalmology·J W RohenE Bárány
Feb 1, 1972·British Journal of Anaesthesia·K PandeyS Kumar
Mar 1, 1971·Anesthesia and Analgesia·K Yoshikawa, Y Murai
Nov 1, 1969·Anesthesia and Analgesia·A D Ivankovic, H J Lowe
Jan 1, 1970·British Journal of Industrial Medicine·J C Gage
May 1, 1970·Comparative Biochemistry and Physiology·A C Smith
Apr 1, 1968·Archives of Ophthalmology·M E Langham, E McCarthy
Nov 1, 1965·The British Journal of Ophthalmology·E S Perkins
Sep 1, 1965·Canadian Anaesthetists' Society Journal·A S Carballo
Jan 25, 1965·JAMA : the Journal of the American Medical Association·H A SaltzmanE J Duffy
Apr 1, 1966·Anaesthesia·A P Adams, K C Barnett
Jul 1, 1984·Canadian Anaesthetists' Society Journal·M G Palazzo, L Strunin
Oct 1, 1984·Anesthesiology·R D MillerY J Sohn
May 1, 1983·Canadian Anaesthetists' Society Journal·J G Williams
Nov 1, 1982·Canadian Anaesthetists' Society Journal·A J CunninghamA G Watson
Dec 1, 1981·Anesthesia and Analgesia·N G GoudsouzianC J Coté
May 1, 1984·British Journal of Anaesthesia·R J MaharajN Welsh
Sep 1, 1983·American Journal of Ophthalmology·W J StarkG C Murray
Jul 1, 1980·British Journal of Anaesthesia·M LeMay
Sep 1, 1981·British Journal of Anaesthesia·R B SmithE M Nemoto
May 1, 1983·Anesthesia and Analgesia·N G BalamoutsosC G Georgiades
Jul 1, 1983·Canadian Anaesthetists' Society Journal·D J Steward
Jul 1, 1983·Canadian Anaesthetists' Society Journal·V F BlancJ L Jacob
Jul 1, 1980·British Journal of Anaesthesia·W S Foulds
Apr 1, 1981·Anaesthesia·J H Cook
Aug 1, 1981·Anaesthesia and Intensive Care·A NorburyJ W Downing
Nov 1, 1981·Canadian Anaesthetists' Society Journal·A J CunninghamA G Watson
Jul 1, 1980·British Journal of Anaesthesia·J L Jay
Jul 1, 1980·British Journal of Anaesthesia·A P Adams, R M Jones
Jul 1, 1980·British Journal of Anaesthesia·K B Holloway
Jun 1, 1980·Anaesthesia·N M Rose, A P Adams
Oct 1, 1955·American Journal of Ophthalmology·H A LINCOFFH MAGDA
Sep 14, 1957·Journal of the American Medical Association·H SCHWARTZE M PAPPER
Apr 1, 1961·Archives of Ophthalmology·F J MACRI
Dec 1, 1963·British Journal of Anaesthesia·R E RAWSTRON, B R HUTCHINSON
Dec 1, 1963·The Journal of Physiology·A HESS, G PILAR
Apr 1, 1925·The British Journal of Ophthalmology·H Schiötz

Citations

Sep 1, 1995·Pflügers Archiv : European journal of physiology·R E HoferP A Iaizzo
Jan 1, 1987·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D F Murphy, N J Davis
Jan 1, 1988·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·R K BaumgartenH V DeVera
May 1, 1989·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·B InduH Singh
Mar 1, 1987·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·B DrengerJ Pe'er
Jan 25, 2011·Archives of Gynecology and Obstetrics·A IoscovichY Shapiro
Mar 15, 2012·Journal of Anesthesia·Xu LiliZhou Haiyan
May 1, 1996·Journal of Clinical Anesthesia·A Joseph, T M Fuhrman
Jan 12, 2000·Pediatric Clinics of North America·J D McAllister, K A Gnauck
Oct 24, 2002·British Journal of Anaesthesia·S Sator-KatzenschlagerA Wedrich
Jun 27, 2003·Anesthesiology·Claude A VachonDouglas R Bacon
Apr 21, 2001·The Journal of ECT·D A SaadT A Rummans
Jul 12, 2007·International Anesthesiology Clinics·Rajpal KohliBenu Makkad
Jun 23, 2009·European Journal of Anaesthesiology·Ana DominguezFernando Gilsanz
Nov 4, 2008·Clinical Neuropharmacology·Mehrdad ShoroghiAli Abbasi
Jan 30, 1999·The British Journal of Ophthalmology·J SalzmannC Migdal
Mar 20, 2010·Anesthesia and Analgesia·Mohammad El-Orbany, Lois A Connolly
Jul 5, 2006·American Journal of Veterinary Research·Erik H HofmeisterMatt R Read
May 3, 2014·Journal of the American Veterinary Medical Association·Bonnie L Hay Kraus
Jul 6, 2014·Journal of Ocular Pharmacology and Therapeutics : the Official Journal of the Association for Ocular Pharmacology and Therapeutics·Mohammad AlipourVahid Ghavami Ghanbarabadi
Sep 28, 2010·Journal of Clinical Anesthesia·Sherine F HannaMichail N Avramov
Jun 27, 2009·General Hospital Psychiatry·Erika Martínez-AmorósMikel Urretavizcaya Sarachaga
Mar 10, 2016·International Ophthalmology·Ahmet ElbayNilufer Zorlutuna Kaymak
Aug 28, 2009·Veterinary Anaesthesia and Analgesia·Erik H HofmeisterPhillip Anthony Moore
Oct 23, 2012·Veterinary Anaesthesia and Analgesia·Bonnie L Hay Kraus
Mar 17, 2012·Veterinary Anaesthesia and Analgesia·Petr RauserLadislav Stehlík
Jan 3, 2013·Veterinary Ophthalmology·Xiaogang WangQiang Wu
Nov 19, 2013·Veterinary Ophthalmology·Michelle M M HasiukDaniel S J Pang
Dec 3, 2014·Veterinary Ophthalmology·Min JangInhyung Lee
Dec 18, 2014·Anesthesia Progress·Yukie NittaToshiaki Fujisawa
Jul 6, 2016·Paediatric Anaesthesia·Julia TermühlenVerena Prokosch
Feb 20, 2008·Veterinary Anaesthesia and Analgesia·Erik H HofmeisterPhillip Anthony Moore
Dec 29, 2016·American Journal of Veterinary Research·Seyed Mehdi RajaeiDavid L Williams
Sep 1, 1991·Journal of Clinical Anesthesia·O A de Leon-Casasola, M J Lema
Mar 20, 2018·Journal of the American Veterinary Medical Association·Terah R WebbWilliam W Muir
Oct 20, 2017·Anesthesia and Analgesia·Dermot J Kelly, Sinéad M Farrell
Jul 22, 2014·British Journal of Hospital Medicine·Meena ArunakirinathanReena Hacking
Jan 20, 2018·Veterinary Ophthalmology·Jean-Yves DouetDidier Concordet
Nov 3, 2017·Mathematical Medicine and Biology : a Journal of the IMA·M DvoriashynaJ H Tweedy
Nov 22, 2002·European Journal of Anaesthesiology·M GeorgiouE Kaprini
Jun 14, 2003·European Journal of Anaesthesiology·L Niemi-MurolaE L Maunuksela
Jul 2, 2011·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Jeremy P Hampton
Jan 18, 2006·Paediatric Anaesthesia·Anjolie ChhabraJeewan Singh Titiyal
May 1, 2013·Asia-Pacific Journal of Ophthalmology·Badri P BadhuHimal P Sangraula
May 10, 2017·Veterinary Ophthalmology·Camila P Balthazar da SilveiraJosé L Laus
Nov 8, 2018·American Journal of Physiology. Regulatory, Integrative and Comparative Physiology·Nathan B MorrisOllie Jay
Nov 22, 2013·The Annals of Pharmacotherapy·Joanna L StollingsDaniel R Brown

Related Concepts

Anesthesia Procedures
General Anesthesia
Anesthetic Effect
Aqueous Flare
Central Nervous System Depressants
Choroid
Eye Injuries
Physiologic Intraocular Pressure
Muscle Tonus
Narcotic Effect

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