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Published in: International Ophthalmology 2/2023

21-07-2022 | Anemia | Original Paper

Evaluation of VEP parameters in patients before and after cardiopulmonary by-pass surgery

Authors: Alper Güneş, Şerife Gülhan Konuk, Helin Deniz Demir, Semiha Kurt, Erdinç Naseri, Ünal Erkorkmaz

Published in: International Ophthalmology | Issue 2/2023

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Abstract

Purpose

Coronary bypass surgery is emphasized in aetiology of ischemic optic neuropathy. Our aim in this study was to investigate the pattern visual evoked potentials (PVEP) in patients before and after coronary bypass surgery.

Methods

Thirty-one patients were included in the study. After a full ophthalmological evaluation, PVEP was assesed in the pre and postoperative periods. Operative times, hematological parameters, blood pressures, number of transfusions, body temperatures, anaesthetic drugs and systemic illnesses were recorded for each patient.

Results

The mean age of the patients were 59 ± 10.4 years. There was 22 men and 9 women in the study. Only 3 of them needed transfusion during the surgery. The mean duration of the surgery was 3.2 ± 0.7 h. None of the patients had a history of visual disturbance or postoperative ischemic optic neuropathy. The mean VEP P100 amplitude was not statistically significantly different but the mean VEP P100 latency showed statistically significant difference between the preoperative and postoperative periods. (p = 0.014) This significance was more appereant in patients with systemic illnesses. (p = 0.023) There was a positive correlation between the age and VEP P100 latency (r = 0.402, p < 0.05).

Conclusions

Although surgical techniques and equipments are developing each day in the field of cardiopulmonary bypass surgery, the contributing factors such as hypothermia, anemia and diabetes still seem to affect neurophysiological functions even after a noncomplicated surgery.
Literature
2.
go back to reference Blauth CI, Smith PL, Arnold JV et al (1990) 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 99(1):61–69CrossRefPubMed Blauth CI, Smith PL, Arnold JV et al (1990) 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 99(1):61–69CrossRefPubMed
Metadata
Title
Evaluation of VEP parameters in patients before and after cardiopulmonary by-pass surgery
Authors
Alper Güneş
Şerife Gülhan Konuk
Helin Deniz Demir
Semiha Kurt
Erdinç Naseri
Ünal Erkorkmaz
Publication date
21-07-2022
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 2/2023
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-022-02435-x

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