ArticleInternational journal of spine surgery2020
Systematic Review and Meta-Analysis of Prone Position on Intraocular Pressure in Adults Undergoing Surgery.
Article in International journal of spine surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Diagnosis and Management of Orbital Compartment Syndrome in Burn Patients-A Systematic Review.Journal of burn care & research : official publication of the American Burn Association · 2024Pooled it
- Lung protective ventilation and intraocular pressure in Trendelenburg laparoscopic myomectomy: a randomised trial.Scientific reports · 2026Trial
- [Small tidal volume hyperventilation relieves intraocular and intracranial pressure elevation in prone spinal surgery: a randomized controlled trial].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2024Trial
- Perioperative visual loss after spine surgery: a systematic review of risk factors and report of a reversible case.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Review
- Sympathetic Stress and Sleep Loss in Diabetic Retinopathy: Links to Retinal Blood-Flow Control.Biomedicines · 2026Review
- Perioperative ischemic optic neuropathy: a comprehensive review of anesthetic implications, hemodynamic pathophysiology, and risk stratification.International ophthalmology · 2026Review
- Ocular Safety of Unilateral Biportal Endoscopic Spinal Surgery: An Optical Coherence Tomography Angiography-Based Analysis.Journal of clinical medicine · 2026Article
- Construction and application of an eye care plan for ICU patients receiving prone position ventilation: a quasi-experimental study.Frontiers in health services · 2026Article
- Intraocular and ocular perfusion pressure changes during pediatric laparoscopic appendectomy.BMC surgery · 2025Observational
- Unilateral postoperative visual loss after percutaneous nephrolithotomy: a case report.BMC anesthesiology · 2025Article
- The effects of prone position on optic nerve sheath diameter and intraocular pressure in elective lumbar disc surgery.BMC anesthesiology · 2025Observational
- Rare Ocular Complication After Prone Position Surgery: Bilateral Subconjunctival Hemorrhage Following Endoscopic Lumbar Discectomy.International medical case reports journal · 2025Article
- Postoperative Glaucoma Decompensation Following Spine Surgery: The Importance of Proper Patient Positioning.Cureus · 2024Article
- The Impact of Steep Trendelenburg Position on Intraocular Pressure.Journal of clinical medicine · 2022Review
- Anisocoria in an intubated patient with COVID-19.BMJ case reports · 2021Article
- Clinical Anatomy of the Extradural Neural Axis Compartment: A Literature Review.World neurosurgery · 2020Review
- Fixed dilated pupils following laparoscopic urological procedure: Steep trendelenburg position was the cause.Saudi journal of anaesthesiaArticle
- Quantitative rise in intraocular pressure in patients undergoing robotic surgery in steep Trendelenburg position: A prospective observational study.Journal of anaesthesiology, clinical pharmacologyArticle
- Keep an eye on acute optic neuropathy.Taiwan journal of ophthalmologyArticle
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients undergoing surgery in the prone position may be at risk for postoperative vision loss associated with increased intraocular pressure. The purpose of this systematic review and meta-analysis is to estimate the magnitude of the increase in intraocular pressure at specific perioperative time points in adult patients. The research question to be addressed is "What is the magnitude of the increase in intraocular pressure at specific perioperative time points in adults undergoing surgery in the prone position?"
methodsComprehensive search strategies were used to identify nine eligible studies (N = 229). Standardized mean difference effect sizes were calculated for two intraoperative time points.Time points for meta-analysis were selected to achieve the greatest number of comparisons for analysis at each time point. Prediction intervals for each time point were also calculated to show the dispersion of true effect sizes around the mean.
resultsMeta-analysis showed that intraocular pressure increased significantly between induction of anesthesia and up to 10 minutes of prone position (T1: standardized mean difference [
conclusionsIntraocular pressure increases of this magnitude demonstrate the need for implementing interventions to reduce the risk for postoperative vision loss in patients undergoing surgery in the prone position. CLINICAL RELEVANCE: Implementing preoperative ophthalmologic examinations for patients undergoing surgery in the prone position may help to reduce the risk for ocular injury. Intraoperative interventions that can be implemented to reduce or mitigate the increase in intraocular pressure include implementing a 5- to 10-degree reverse Trendelenburg prone position, reducing the amount of time the patient is in the prone position, considering staged procedures, monitoring intraocular pressure, providing periodic position changes or rest periods, preventing pressure on the eye, and administering specific medications or anesthetics.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.