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Perfusion
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research-article

The use of the retinal nerve fiber layer thickness measurement in determining the effects of cardiopulmonary bypass procedures on the optic nerve

M Buyukates

Department of Cardiovascular Surgery, Zonguldak Karaelmas University, School of Medicine, Zonguldak, Turkey

S Kargi

Department of Ophthalmology, Zonguldak Karaelmas University, School of Medicine, Zonguldak, Turkey;

O Kandemir

Department of Cardiovascular Surgery, Zonguldak Karaelmas University, School of Medicine, Zonguldak, Turkey

E Aktunc

Department of Family Medicine, Zonguldak Karaelmas University, School of Medicine, Zonguldak, Turkey

SA Turan

Department of Cardiovascular Surgery, Zonguldak Karaelmas University, School of Medicine, Zonguldak, Turkey

A Atalay

Department of Cardiovascular Surgery, Zonguldak Karaelmas University, School of Medicine, Zonguldak, Turkey

Background: Our aim was to determine the effects of cardiopulmonary bypass procedures on the optic nerve by retinal nerve fiber layer thickness measurements. Methods: Retinal nerve fiber layer thickness was measured using the GDx Nerve Fiber Analyser, 1 day before the surgery and on postoperative days 1, 5 and 30 in 20 patients undergoing coronary artery bypass grafting surgery. Results: Postoperative mean values for retinal nerve fiber layer thickness, except symmetry on the first day and except symmetry and superior nasal ratio on the fifth day, were statsitically decreased. Only the value for the inferior ratio was significantly lower at the end of the first month. Conclusions: Cardiopulmonary bypass procedures cause a temporary decrease in retinal nerve fiber layer thickness.

Key Words: cardiopulmonary bypass • hypoxia • optic neuropathy • retinal nerve fiber layer thickness

References

  • 1 Shahian DMSpeert PK . Symptomatic visual deficits after open heart operations. Ann Thorac Surg 1989; 48 : 275 – 279 . [Abstract]
  • 2 Tuman KJMcCarthy RJNajafi HIvankovich AD . Differential effects of advanced age on neurologic and cardiac risks of coronary artery operations. J Thorac Cardiovasc Surg 1992; 104 : 1510 – 1517 . [Abstract]
  • 3 Shaw PJ; Bates D; Cartlidge NE; Heaviside D; Julian DG; Shaw DA;. Early neurological complications of coronary artery bypass surgery. Br Med J (Clin Res Ed) 1985; Nov 16; 291(6506): 1384–1387.
  • 4 Larkin DFConnolly PMagner JBWood AEEustace P . Intraocular pressure during cardiopulmonary bypass. Br J Ophthalmol 1987; 71 : 177 – 180 . [Abstract/Free Full Text]
  • 5 Harwerth RSWheat JL . Modeling the effects of aging on retinal ganglion cell density and nerve fiber layer thickness. Graefes Arch Clin Exp Ophthalmol 2007; Oct 13 [Epub ahead of print].
  • 6 Quigley HA; Dunkelberger GR; Green WR;. Retinal ganglion cell atrophy correlated with automated perimetry in human eyes with glaucoma. Am J Ophthalmol 1989; 15; 107(5): 453–464.
  • 7 Herren JIKunzelman KSVocelka CCochran RPSpiess BD . Angiographic and histological evaluation of porcine retinal vascular damage and protection with perfluorocarbons after massive air embolism. Stroke 1998; 29 : 2396 – 2403 . [Abstract/Free Full Text]
  • 8 Stump DARogers ATHammon JWNewman SP . Cerebral emboli and cognitive outcome after cardiac surgery. J Cardiothorac Vasc Anesth 1996; 10 : 113 – 118 . [CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • 9 Edmonds HLRodriguez RAAudenaert SMAustin EHPollock SBGanzel BL . The role of neuromonitoring in cardiovascular surgery. J Cardiothorac Vasc Anesth 1996; 10 : 15 – 23 . [CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • 10 Gutman FAZegarra H . Ocular complications in cardiac surgery. Surg Clin North Am 1971; 51 : 1095 – 1103 . [Web of Science][Medline] [Order article via Infotrieve]
  • 11 Sweeney PJBreuer ACSelhorst JB . Ischemic optic neuropathy: a complication of cardiopulmonary bypass surgery. Neurology 1982; 32 : 560 – 562 . [Abstract/Free Full Text]
  • 12 Arnold JVBlauth CISmith PLJagoe JRWootton RTaylor KM . Demonstration of cerebral microemboli occurring during coronary artery bypass graft surgery using fluorescein angiography. J Audiov Media Med 1990; 13 : 87 – 90 . [Medline] [Order article via Infotrieve]
  • 13 Blauth CIArnold JVSchulenberg WEMcCartney ACTaylor KM . Cerebral microembolism during cardiopulmonary bypass. Retinal microvascular studies in vivo with fluorescein angiography. J Thorac Cardiovasc Surg 1988; 95 : 668 – 676 . [Abstract]
  • 14 Orihashi KMatsuura YSueda T . Flow velocity of central retinal artery and retro vessels during cardiovascular operations. J Thorac Cardiovasc Surg 1997; 114 : 1081 – 1087 . [Abstract/Free Full Text]
  • 15 Choplin NTLundy DC . The sensitivity and specificity of scanning laser polarimetry in the detection of glaucoma in a clinical setting. Ophthalmology 2001; 108 : 899 – 904 . [CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • 16 El-Beltagi TABowd CBoden C . Retinal nerve fiber layer thickness measured with optical coherence tomography is related to visual function in glaucomatous eyes. Ophthalmology 2003; 110 : 2185 – 2191 . [CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • 17 Bowd CZangwill LMBerry CC . Detecting early glaucoma by assessment of retinal nerve fiber layer thickness and visual function. Invest Ophthalmol Vis Sci 2001; 42 : 1993 – 2003 . [Abstract/Free Full Text]
  • 18 Zangwill LMBowd CBerry CC . Discriminating between normal and glaucomatous eyes using the Heidelberg Retina Tomograph, GDx Nerve Fiber Analyzer, and Optical Coherence Tomograph. Arch Ophthalmol 2001; 119 : 985 – 993 . [Abstract/Free Full Text]
  • 19 Kargi SHAltin RKoksal M . Retinal nerve fibre layer measurements are reduced in patients with obstructive sleep apnoea syndrome. Eye 2005; 19 : 575 – 579 . [CrossRef][Web of Science][Medline] [Order article via Infotrieve]
  • 20 Blauth CISmith PLArnold JVJagoe JRWootton RTaylor KM . Influence of oxygenator type on the prevalence and extent of microembolic retinal ischemia during cardiopulmonary bypass. Assessment by digital image analysis. J Thorac Cardiovasc Surg 1990; 99 : 61 – 69 . [Abstract]
  • 21 Al-Ruzzeh S; George S; Bustami M;. Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomised controlled trial. BMJ 2006; Jun 10; 332(7554) : 1365.

Perfusion, Vol. 22, No. 6, 401-406 (2007)
DOI: 10.1177/0267659108090179


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This Article
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