Skip to main content
Key Specialties
Anesthesiology Cardiology Dermatology Diabetology Endocrinology Gastroenterology General Medicine Geriatrics Hematology Infectious Diseases Internal Medicine Nephrology Neurology Obstetrics and Gynecology Oncology Ophthalmology Pediatrics Psychiatry Radiology Respiratory Medicine Rheumatology Surgery Urology
Congress Coverage
ASH 2024 Annual Meeting 2024 ESMO Congress 2024 ERS Congress 2024 EASD Congress 2024 ESC Congress 2024 EAN Congress 2024 ASCO Annual Meeting 2024 ACC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on adolescent vaping

LIVE: Wednesday 29th January, 18:00-19:30 CET

Growing numbers of young people are using e-cigarettes, despite warnings of respiratory effects and addiction. How can doctors tackle the epidemic, and what health effects should you prepare to manage in your clinics?
ADVANCED SEARCH
Log in
Top
Japanese Journal of Ophthalmology
Published in:

Open Access 28-09-2024 | Cataract | Clinical Investigation

Management of preoperative hypertension and anxiety based on early monitoring of pulse rate before cataract surgery

Authors: Takashi Ono, Takuya Iwasaki, Rie Tomari, Toshihiro Sakisaka, Yosai Mori, Ryohei Nejima, Kazunori Miyata

Published in: Japanese Journal of Ophthalmology | Issue 6/2024

Login to get access

Abstract

Purpose

Few studies have addressed the clinical impact of fluctuation in pulse rate before cataract surgery. This study aimed to determine the effectiveness of prior pulse monitoring and intervention to prevent blood pressure changes in patients undergoing cataract surgery under local anesthesia.

Study design

Retrospective study

Methods

Patients who underwent cataract surgery under local anesthesia were included. In the pulse rate (PR) group, intervention was performed on the basis of early monitoring of blood pressure and PR changes. In the conventional group, blood pressure was managed on the basis of blood pressure alone. Systolic blood pressure, diastolic blood pressure, intraoperative nicardipine use, and physician consultation time were retrospectively compared between the groups.

Results

The study included 684 eyes from 684 patients aged 73.5 ± 9.5 years (PR group: 297 eyes, conventional group: 387 eyes). No intergroup differences were found in systolic blood pressure or pulse and heart rates; however, diastolic blood pressure was significantly lower in the PR group than in the conventional group at both the beginning and the end of surgery (P <.001 and P = .0028, respectively). Intravenous nicardipine administration in the operating room was significantly less frequent in the PR group (P = .041), and physician consultation time after entering the operating room and at the beginning of surgery was significantly shorter in the PR group (both P <.001).

Conclusion

Early monitoring of PR with blood pressure and intervention were effective for preventing preoperative hypertension.
Literature
1.
Obuchowska I, Konopinska J. Fear and anxiety associated with cataract surgery under local anesthesia in adults: a systematic review. Psychol Res Behav Manag. 2021;14:781–93.CrossRefPubMedPubMedCentral
2.
Boker A, Brownell L, Donen N. The Amsterdam preoperative anxiety and information scale provides a simple and reliable measure of preoperative anxiety. Can J Anaesth. 2002;49:792–8.CrossRefPubMed
3.
Costagliola C, Parmeggiani F, Semeraro F, Sebastiani A. Selective serotonin reuptake inhibitors: a review of its effects on intraocular pressure. Curr Neuropharmacol. 2008;6:293–310.CrossRefPubMedPubMedCentral
4.
Richa S, Yazbek JC. Ocular adverse effects of common psychotropic agents: a review. CNS Drugs. 2010;24:501–26.CrossRefPubMed
5.
Razeghinejad MR, Pro MJ, Katz LJ. Non-steroidal drug-induced glaucoma. Eye (Lond). 2011;25:971–80.CrossRefPubMed
6.
Razeghinejad MR, Myers JS, Katz LJ. Iatrogenic glaucoma secondary to medications. Am J Med. 2011;124:20–5.CrossRefPubMed
7.
Ono T, Iwasaki T, Sameshima S, Lee J, Mori Y, Nejima R, et al. Effect of metabolic syndrome on blood pressure changes during cataract surgery. Asia Pac J Ophthalmol (Phila). 2020;9:14–9.CrossRefPubMed
8.
Kim WJ, Li J, Oh IS, Song I, Lee E, Namkoong K, et al. Benzodiazepine use and risk of acute angle-closure glaucoma: a population-based case-crossover study. Drug Saf. 2020;43:539–47.CrossRefPubMed
9.
Park MY, Kim WJ, Lee E, Kim C, Son SJ, Yoon JS, et al. Association between use of benzodiazepines and occurrence of acute angle-closure glaucoma in the elderly: a population-based study. J Psychosom Res. 2019;122:1–5.CrossRefPubMed
10.
Matos AG, Castillo PDB, Bisneto JAL, Paula JS. Acute angle closure triggered by oral benzodiazepines. Arq Bras Oftalmol. 2021;84:170–3.CrossRefPubMed
11.
Robin C, Trieger N. Paradoxical reactions to benzodiazepines in intravenous sedation: a report of 2 cases and review of the literature. Anesth Prog. 2002;49:128–32.PubMedPubMedCentral
12.
Norman PE, Jamrozik K, Lawrence-Brown MM, Le MTQ, Spencer CA, Tuohy RJ, et al. Population based randomised controlled trial on impact of screening on mortality from abdominal aortic aneurysm. Br Med J. 2004;329:1259.CrossRef
13.
Lindholt JS, Juul S, Fasting H, Henneberg EW. Screening for abdominal aortic aneurysms: single centre randomised controlled trial. Br Med J. 2005;330:750.CrossRef
14.
15.
Howard DPJ, Banerjee A, Fairhead JF, Perkins J, Silver LE, Rothwell PM. Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford Vascular Study. Circulation. 2013;127:2031–7.CrossRefPubMedPubMedCentral
16.
Ono T, Iwasaki T, Kawahara K, Agune Y, Mori Y, Nejima R, et al. Early intervention for perioperative hypertension in cataract surgery. Graefes Arch Clin Exp Ophthalmol. 2022;261:147–54.CrossRefPubMed
17.
18.
Cronenwett JL, Murphy TF, Zelenock GB, Whitehouse WM Jr, Lindenauer SM, Graham LM, et al. Actuarial analysis of variables associated with rupture of small abdominal aortic aneurysms. Surgery. 1985;98:472–83.PubMed
19.
Wilson KA, Lee AJ, Hoskins PR, Fowkes FG, Ruckley CV, Bradbury AW. The relationship between aortic wall distensibility and rupture of infrarenal abdominal aortic aneurysm. J Vasc Surg. 2003;37:112–7.CrossRefPubMed
20.
Suzuki R, Kuroki S, Fujiwara N. A comparison of blood pressure changes in phacoemulsification cataract surgery with topical and retrobulbar block local anaesthesia. Graefes Arch Clin Exp Ophthalmol. 1997;235:277–82.CrossRefPubMed
21.
22.
Pérez-Campagne E, Basdekidou C, Petropoulos IK, Noachovitch B, Moubri M. Impact of preoperative and intraoperative factors in cataract surgery. Klin Monbl Augenheilkd. 2013;230:326–8.CrossRefPubMed
23.
Mitsonis CI, Mitropoulos PA, Dimopoulos NP, Mitsonis MI, Andriotis NM, Gitsa OE, et al. Anxiety and depression in cataract surgery: a pilot study in the elderly. Psychol Rep. 2006;99:257–65.CrossRefPubMed
24.
Farmahini Farahani M, Noruzi Zamenjani M, Nasiri M, Shamsikhani S, Purfarzad Z, Harorani M. Effects of extremity massage on preoperative anxiety: a three-arm randomized controlled clinical trial on phacoemulsification candidates. J Perianesth Nurs. 2020;35:277–82.CrossRefPubMed
25.
Moon JS, Cho KS. The effects of handholding on anxiety in cataract surgery patients under local anaesthesia. J Adv Nurs. 2001;35:407–15.CrossRefPubMed
26.
Kim MS, Cho KS, Woo H, Kim JH. Effects of hand massage on anxiety in cataract surgery using local anaesthesia. J Cataract Refract Surg. 2001;27:884–90.CrossRefPubMed
27.
Muddana SK, Hess OM, Sundar S, Venkatesh R. Preoperative and perioperative music to reduce anxiety during first-time phacoemulsification cataract surgery in the high-volume setting: randomized controlled trial. J Cataract Refract Surg. 2021;47:471–5.CrossRefPubMed
28.
Wiwatwongwana D, Vichitvejpaisal P, Thaikruea L, Klaphajone J, Tantong A, Wiwatwongwana A. The effect of music with and without binaural beat audio on operative anxiety in patients undergoing cataract surgery: a randomized controlled trial. Eye (Lond). 2016;30:1407–14.CrossRefPubMed
29.
Dahshan D, Kuzbel J, Verma V. A role for music in cataract surgery: a systematic review. Int Ophthalmol. 2021;41:4209–15.CrossRefPubMed
30.
Morrell G. Effect of structured preoperative teaching on anxiety levels of patients scheduled for cataract surgery. Insight. 2001;26:4–9.PubMed
31.
32.
33.
Duroi Q, Baudet JM, Bigoteau M, Slim M, Pichard T, Pisella PJ, et al. Ambulatory cataract surgery centre without perioperative anaesthesia care: a prospective cohort study. Sci Rep. 2021;11:8311.CrossRefPubMedPubMedCentral
34.
Nielsen S, McAuley A. Etizolam: a rapid review on pharmacology, non-medical use and harms. Drug Alcohol Rev. 2020;39:330–6.CrossRefPubMed
35.
Fracasso C, Confalonieri S, Garattini S, Caccia S. Single and multiple dose pharmacokinetics of etizolam in healthy subjects. Eur J Clin Pharmacol. 1991;40:181–5.CrossRefPubMed
36.
Umemura S, Arima H, Arima S, Asayama K, Dohi Y, Hirooka Y, et al. The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019). Hypertens Res. 2019;42:1235–481.CrossRefPubMed
37.
Carlini NA, Harber MP, Fleenor BS. Age-related carotid extra-media thickening is associated with increased blood pressure and arterial stiffness. Clin Physiol Funct Imaging. 2021;41:461–6.CrossRefPubMed
38.
Cuttitta A, Joseph SS, Henderson J, Portney DS, Keedy JM, Benedict WL, et al. Feasibility of a risk-based approach to cataract surgery preoperative medical evaluation. JAMA Ophthalmol. 2021;139:1309–12.CrossRefPubMed
Metadata
Title
Management of preoperative hypertension and anxiety based on early monitoring of pulse rate before cataract surgery
Authors
Takashi Ono
Takuya Iwasaki
Rie Tomari
Toshihiro Sakisaka
Yosai Mori
Ryohei Nejima
Kazunori Miyata
Publication date
28-09-2024
Publisher
Springer Japan
Published in
Japanese Journal of Ophthalmology / Issue 6/2024
Print ISSN: 0021-5155
Electronic ISSN: 1613-2246
DOI
https://doi.org/10.1007/s10384-024-01124-9

Other articles of this Issue 6/2024

Comparison of iodine compounds and levofloxacin as postoperative instillation; conjunctival bacterial flora and antimicrobial susceptibility following cataract surgery

Associations of ocular anterior segment structures with sex and age: the Yamagata study (Funagata)

Bilateral medial rectus recession with or without posterior fixation in large-angle infantile esotropia: a randomized controlled trial

Analysis of clinical features and outcomes in patients with ocular myasthenia gravis according to anti-acetylcholine receptor antibody-seropositivity

Mutations of CYP1B1 and FOXC1 genes for childhood glaucoma in Japanese individuals

  • Open Access
  • Glaucoma
  • Clinical Investigation

Establishing the cutoff value of near visual acuity for assessment of early presbyopia