Intraocular temperature changes during vitrectomy procedure

Background: Monitoring of treatment parameters is of utmost importance in current medicine. The use of intraocular media and irrigation fluid temperature monitoring during vitreoretinal surgery is, however, not common in current clinical practice. Purpose: To investigate intraocular temperature c...

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Main Authors: R.E. Nazaretyan, O.S. Zadorozhnyy, M.M. Umanets, V.A. Naumenko, N.V. Pasyechnikova, V.V. Shafranskii
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2018-12-01
Series:Journal of Ophthalmology
Subjects:
Online Access:https://www.ozhurnal.com/en/archive/2018/6/5-fulltext
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author R.E. Nazaretyan
O.S. Zadorozhnyy
M.M. Umanets
V.A. Naumenko
N.V. Pasyechnikova
V.V. Shafranskii
author_facet R.E. Nazaretyan
O.S. Zadorozhnyy
M.M. Umanets
V.A. Naumenko
N.V. Pasyechnikova
V.V. Shafranskii
author_sort R.E. Nazaretyan
collection DOAJ
description Background: Monitoring of treatment parameters is of utmost importance in current medicine. The use of intraocular media and irrigation fluid temperature monitoring during vitreoretinal surgery is, however, not common in current clinical practice. Purpose: To investigate intraocular temperature changes at various time points of vitreoretinal surgery. Materials and Methods: Twenty patients (20 eyes) who underwent vitrectomy with room-temperature (24.2±0.52 ˚С) irrigation solutions at an ambient temperature of 24.4±0.51 °С were under observation. Temperatures in the anterior, mid- and posterior vitreous were recorded before and immediately after vitrectomy and after performance of additional surgical manipulations. Results: The presence of a transvitreous temperature gradient from the anterior toward the posterior vitreous of the human eye was confirmed. At baseline, the highest temperature (34.17±0.36 °С) was recorded in the posterior vitreous. There were significant decreases in temperatures in vitreous compartments immediately after vitrectomy, with the lowest temperature of 30.1±0.45 °С recorded in the anterior vitreous, and the greatest temperature decrease (3.8±0.59 ˚С) compared to baseline, in the preretinal posterior vitreous. There were increases in temperatures in vitreous compartments after additional surgical manipulations and, with an increase in the duration of these manipulations, temperature in the vitreous increased at an average rate of 0.18°C per minute. Conclusion: Vitreoretinal surgery is commonly performed under conditions of artificially induced local hypothermia, warranting intraoperative monitoring of intraocular and irrigation fluid temperatures.
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spelling doaj.art-07e5696eef9e416aa5a99746fabf8fee2023-12-26T15:11:35ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402018-12-016303410.31288/oftalmolzh201863034Intraocular temperature changes during vitrectomy procedureR.E. Nazaretyan0O.S. Zadorozhnyy1M.M. Umanets2V.A. Naumenko3N.V. Pasyechnikova4V.V. Shafranskii5Filatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineFilatov Institute of Eye Diseases and Tissue Therapy, NAMS of UkraineBohomolets National Medical UniversityBackground: Monitoring of treatment parameters is of utmost importance in current medicine. The use of intraocular media and irrigation fluid temperature monitoring during vitreoretinal surgery is, however, not common in current clinical practice. Purpose: To investigate intraocular temperature changes at various time points of vitreoretinal surgery. Materials and Methods: Twenty patients (20 eyes) who underwent vitrectomy with room-temperature (24.2±0.52 ˚С) irrigation solutions at an ambient temperature of 24.4±0.51 °С were under observation. Temperatures in the anterior, mid- and posterior vitreous were recorded before and immediately after vitrectomy and after performance of additional surgical manipulations. Results: The presence of a transvitreous temperature gradient from the anterior toward the posterior vitreous of the human eye was confirmed. At baseline, the highest temperature (34.17±0.36 °С) was recorded in the posterior vitreous. There were significant decreases in temperatures in vitreous compartments immediately after vitrectomy, with the lowest temperature of 30.1±0.45 °С recorded in the anterior vitreous, and the greatest temperature decrease (3.8±0.59 ˚С) compared to baseline, in the preretinal posterior vitreous. There were increases in temperatures in vitreous compartments after additional surgical manipulations and, with an increase in the duration of these manipulations, temperature in the vitreous increased at an average rate of 0.18°C per minute. Conclusion: Vitreoretinal surgery is commonly performed under conditions of artificially induced local hypothermia, warranting intraoperative monitoring of intraocular and irrigation fluid temperatures.https://www.ozhurnal.com/en/archive/2018/6/5-fulltextvitrectomyintraocular temperaturehuman eye
spellingShingle R.E. Nazaretyan
O.S. Zadorozhnyy
M.M. Umanets
V.A. Naumenko
N.V. Pasyechnikova
V.V. Shafranskii
Intraocular temperature changes during vitrectomy procedure
Journal of Ophthalmology
vitrectomy
intraocular temperature
human eye
title Intraocular temperature changes during vitrectomy procedure
title_full Intraocular temperature changes during vitrectomy procedure
title_fullStr Intraocular temperature changes during vitrectomy procedure
title_full_unstemmed Intraocular temperature changes during vitrectomy procedure
title_short Intraocular temperature changes during vitrectomy procedure
title_sort intraocular temperature changes during vitrectomy procedure
topic vitrectomy
intraocular temperature
human eye
url https://www.ozhurnal.com/en/archive/2018/6/5-fulltext
work_keys_str_mv AT renazaretyan intraoculartemperaturechangesduringvitrectomyprocedure
AT oszadorozhnyy intraoculartemperaturechangesduringvitrectomyprocedure
AT mmumanets intraoculartemperaturechangesduringvitrectomyprocedure
AT vanaumenko intraoculartemperaturechangesduringvitrectomyprocedure
AT nvpasyechnikova intraoculartemperaturechangesduringvitrectomyprocedure
AT vvshafranskii intraoculartemperaturechangesduringvitrectomyprocedure