Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer

Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascula...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Zeki Fikret, Cenk [verfasserIn] Simsek, Erdal [verfasserIn] Ucgun, Nil Irem [verfasserIn] Kulahcioglu, Emre [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Cardiopulmonary bypass surgery Retinal nerve fiber layer Ganglion cell layer Optic nerve Retina OCT

Übergeordnetes Werk:	Enthalten in: Photodiagnosis and photodynamic therapy - Amsterdam [u.a.] : Elsevier Science, 2004, 44
Übergeordnetes Werk:	volume:44

DOI / URN:	10.1016/j.pdpdt.2023.103880

Katalog-ID:	ELV066215471

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245	1	0	\|a Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer
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520			\|a Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascular surgery clinic were included in the study. Routine ophthalmologic examinations of all patients were performed before and 1 week after surgery. In addition, 3D(H) Macula+5 Line Cross 12 × 9 mm mod and Peripapilar 3D Disk 6 × 6 mm mod data were analyzed with OCT (Topcon, Triton Swept Source-OKT, Tokyo, Japan) device. Peripapillary total, superior, inferior retinal nerve fiber layer (RNFL), optic disc cavity volume, cup-to-disc ratio, macular ganglion cell layer (GCL), macular thickness were compared before and after surgery.Results: After cardiopulmonary bypass surgery, thickening was detected in the total RNFL (p<0.001), superior RNFL (p = 0.01) and inferior RNFL (p<0.001) layers. There was no change in the values of GCL, macular thickness, optic disc cupping volume, cup-to-disc ratio after surgery (p>0.05).Conclusion: RNFL thickening has been detected in patients undergoing cardiopulmonary bypass surgery. This thickening may occur secondary to ischemic edema that occurs during surgery. Considering the late complications of ischemic edema in the RNFL, oxygen levels should be kept at an optimum level during surgery and long-term ophthalmologic follow-ups should be performed.
650		4	\|a Cardiopulmonary bypass surgery
650		4	\|a Retinal nerve fiber layer
650		4	\|a Ganglion cell layer
650		4	\|a Optic nerve
650		4	\|a Retina
650		4	\|a OCT
700	1		\|a Simsek, Erdal \|e verfasserin \|4 aut
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700	1		\|a Kulahcioglu, Emre \|e verfasserin \|4 aut
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allfields	10.1016/j.pdpdt.2023.103880 doi (DE-627)ELV066215471 (ELSEVIER)S1572-1000(23)00607-5 DE-627 ger DE-627 rda eng 620 VZ Zeki Fikret, Cenk verfasserin aut Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascular surgery clinic were included in the study. Routine ophthalmologic examinations of all patients were performed before and 1 week after surgery. In addition, 3D(H) Macula+5 Line Cross 12 × 9 mm mod and Peripapilar 3D Disk 6 × 6 mm mod data were analyzed with OCT (Topcon, Triton Swept Source-OKT, Tokyo, Japan) device. Peripapillary total, superior, inferior retinal nerve fiber layer (RNFL), optic disc cavity volume, cup-to-disc ratio, macular ganglion cell layer (GCL), macular thickness were compared before and after surgery.Results: After cardiopulmonary bypass surgery, thickening was detected in the total RNFL (p<0.001), superior RNFL (p = 0.01) and inferior RNFL (p<0.001) layers. There was no change in the values of GCL, macular thickness, optic disc cupping volume, cup-to-disc ratio after surgery (p>0.05).Conclusion: RNFL thickening has been detected in patients undergoing cardiopulmonary bypass surgery. This thickening may occur secondary to ischemic edema that occurs during surgery. Considering the late complications of ischemic edema in the RNFL, oxygen levels should be kept at an optimum level during surgery and long-term ophthalmologic follow-ups should be performed. Cardiopulmonary bypass surgery Retinal nerve fiber layer Ganglion cell layer Optic nerve Retina OCT Simsek, Erdal verfasserin aut Ucgun, Nil Irem verfasserin (orcid)0000-0002-2665-3355 aut Kulahcioglu, Emre verfasserin aut Enthalten in Photodiagnosis and photodynamic therapy Amsterdam [u.a.] : Elsevier Science, 2004 44 Online-Ressource (DE-627)389871893 (DE-600)2149918-4 (DE-576)259486337 1873-1597 nnns volume:44 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2044 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4251 GBV_ILN_4323 GBV_ILN_4700 AR 44
spelling	10.1016/j.pdpdt.2023.103880 doi (DE-627)ELV066215471 (ELSEVIER)S1572-1000(23)00607-5 DE-627 ger DE-627 rda eng 620 VZ Zeki Fikret, Cenk verfasserin aut Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascular surgery clinic were included in the study. Routine ophthalmologic examinations of all patients were performed before and 1 week after surgery. In addition, 3D(H) Macula+5 Line Cross 12 × 9 mm mod and Peripapilar 3D Disk 6 × 6 mm mod data were analyzed with OCT (Topcon, Triton Swept Source-OKT, Tokyo, Japan) device. Peripapillary total, superior, inferior retinal nerve fiber layer (RNFL), optic disc cavity volume, cup-to-disc ratio, macular ganglion cell layer (GCL), macular thickness were compared before and after surgery.Results: After cardiopulmonary bypass surgery, thickening was detected in the total RNFL (p<0.001), superior RNFL (p = 0.01) and inferior RNFL (p<0.001) layers. There was no change in the values of GCL, macular thickness, optic disc cupping volume, cup-to-disc ratio after surgery (p>0.05).Conclusion: RNFL thickening has been detected in patients undergoing cardiopulmonary bypass surgery. This thickening may occur secondary to ischemic edema that occurs during surgery. Considering the late complications of ischemic edema in the RNFL, oxygen levels should be kept at an optimum level during surgery and long-term ophthalmologic follow-ups should be performed. Cardiopulmonary bypass surgery Retinal nerve fiber layer Ganglion cell layer Optic nerve Retina OCT Simsek, Erdal verfasserin aut Ucgun, Nil Irem verfasserin (orcid)0000-0002-2665-3355 aut Kulahcioglu, Emre verfasserin aut Enthalten in Photodiagnosis and photodynamic therapy Amsterdam [u.a.] : Elsevier Science, 2004 44 Online-Ressource (DE-627)389871893 (DE-600)2149918-4 (DE-576)259486337 1873-1597 nnns volume:44 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2044 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4251 GBV_ILN_4323 GBV_ILN_4700 AR 44
allfields_unstemmed	10.1016/j.pdpdt.2023.103880 doi (DE-627)ELV066215471 (ELSEVIER)S1572-1000(23)00607-5 DE-627 ger DE-627 rda eng 620 VZ Zeki Fikret, Cenk verfasserin aut Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascular surgery clinic were included in the study. Routine ophthalmologic examinations of all patients were performed before and 1 week after surgery. In addition, 3D(H) Macula+5 Line Cross 12 × 9 mm mod and Peripapilar 3D Disk 6 × 6 mm mod data were analyzed with OCT (Topcon, Triton Swept Source-OKT, Tokyo, Japan) device. Peripapillary total, superior, inferior retinal nerve fiber layer (RNFL), optic disc cavity volume, cup-to-disc ratio, macular ganglion cell layer (GCL), macular thickness were compared before and after surgery.Results: After cardiopulmonary bypass surgery, thickening was detected in the total RNFL (p<0.001), superior RNFL (p = 0.01) and inferior RNFL (p<0.001) layers. There was no change in the values of GCL, macular thickness, optic disc cupping volume, cup-to-disc ratio after surgery (p>0.05).Conclusion: RNFL thickening has been detected in patients undergoing cardiopulmonary bypass surgery. This thickening may occur secondary to ischemic edema that occurs during surgery. Considering the late complications of ischemic edema in the RNFL, oxygen levels should be kept at an optimum level during surgery and long-term ophthalmologic follow-ups should be performed. Cardiopulmonary bypass surgery Retinal nerve fiber layer Ganglion cell layer Optic nerve Retina OCT Simsek, Erdal verfasserin aut Ucgun, Nil Irem verfasserin (orcid)0000-0002-2665-3355 aut Kulahcioglu, Emre verfasserin aut Enthalten in Photodiagnosis and photodynamic therapy Amsterdam [u.a.] : Elsevier Science, 2004 44 Online-Ressource (DE-627)389871893 (DE-600)2149918-4 (DE-576)259486337 1873-1597 nnns volume:44 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2044 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4251 GBV_ILN_4323 GBV_ILN_4700 AR 44
allfieldsGer	10.1016/j.pdpdt.2023.103880 doi (DE-627)ELV066215471 (ELSEVIER)S1572-1000(23)00607-5 DE-627 ger DE-627 rda eng 620 VZ Zeki Fikret, Cenk verfasserin aut Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascular surgery clinic were included in the study. Routine ophthalmologic examinations of all patients were performed before and 1 week after surgery. In addition, 3D(H) Macula+5 Line Cross 12 × 9 mm mod and Peripapilar 3D Disk 6 × 6 mm mod data were analyzed with OCT (Topcon, Triton Swept Source-OKT, Tokyo, Japan) device. Peripapillary total, superior, inferior retinal nerve fiber layer (RNFL), optic disc cavity volume, cup-to-disc ratio, macular ganglion cell layer (GCL), macular thickness were compared before and after surgery.Results: After cardiopulmonary bypass surgery, thickening was detected in the total RNFL (p<0.001), superior RNFL (p = 0.01) and inferior RNFL (p<0.001) layers. There was no change in the values of GCL, macular thickness, optic disc cupping volume, cup-to-disc ratio after surgery (p>0.05).Conclusion: RNFL thickening has been detected in patients undergoing cardiopulmonary bypass surgery. This thickening may occur secondary to ischemic edema that occurs during surgery. Considering the late complications of ischemic edema in the RNFL, oxygen levels should be kept at an optimum level during surgery and long-term ophthalmologic follow-ups should be performed. Cardiopulmonary bypass surgery Retinal nerve fiber layer Ganglion cell layer Optic nerve Retina OCT Simsek, Erdal verfasserin aut Ucgun, Nil Irem verfasserin (orcid)0000-0002-2665-3355 aut Kulahcioglu, Emre verfasserin aut Enthalten in Photodiagnosis and photodynamic therapy Amsterdam [u.a.] : Elsevier Science, 2004 44 Online-Ressource (DE-627)389871893 (DE-600)2149918-4 (DE-576)259486337 1873-1597 nnns volume:44 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2044 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4251 GBV_ILN_4323 GBV_ILN_4700 AR 44
allfieldsSound	10.1016/j.pdpdt.2023.103880 doi (DE-627)ELV066215471 (ELSEVIER)S1572-1000(23)00607-5 DE-627 ger DE-627 rda eng 620 VZ Zeki Fikret, Cenk verfasserin aut Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascular surgery clinic were included in the study. Routine ophthalmologic examinations of all patients were performed before and 1 week after surgery. In addition, 3D(H) Macula+5 Line Cross 12 × 9 mm mod and Peripapilar 3D Disk 6 × 6 mm mod data were analyzed with OCT (Topcon, Triton Swept Source-OKT, Tokyo, Japan) device. Peripapillary total, superior, inferior retinal nerve fiber layer (RNFL), optic disc cavity volume, cup-to-disc ratio, macular ganglion cell layer (GCL), macular thickness were compared before and after surgery.Results: After cardiopulmonary bypass surgery, thickening was detected in the total RNFL (p<0.001), superior RNFL (p = 0.01) and inferior RNFL (p<0.001) layers. There was no change in the values of GCL, macular thickness, optic disc cupping volume, cup-to-disc ratio after surgery (p>0.05).Conclusion: RNFL thickening has been detected in patients undergoing cardiopulmonary bypass surgery. This thickening may occur secondary to ischemic edema that occurs during surgery. Considering the late complications of ischemic edema in the RNFL, oxygen levels should be kept at an optimum level during surgery and long-term ophthalmologic follow-ups should be performed. Cardiopulmonary bypass surgery Retinal nerve fiber layer Ganglion cell layer Optic nerve Retina OCT Simsek, Erdal verfasserin aut Ucgun, Nil Irem verfasserin (orcid)0000-0002-2665-3355 aut Kulahcioglu, Emre verfasserin aut Enthalten in Photodiagnosis and photodynamic therapy Amsterdam [u.a.] : Elsevier Science, 2004 44 Online-Ressource (DE-627)389871893 (DE-600)2149918-4 (DE-576)259486337 1873-1597 nnns volume:44 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2044 GBV_ILN_2068 GBV_ILN_2106 GBV_ILN_2111 GBV_ILN_2153 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_4251 GBV_ILN_4323 GBV_ILN_4700 AR 44
language	English
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topic_facet	Cardiopulmonary bypass surgery Retinal nerve fiber layer Ganglion cell layer Optic nerve Retina OCT
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container_title	Photodiagnosis and photodynamic therapy
authorswithroles_txt_mv	Zeki Fikret, Cenk @@aut@@ Simsek, Erdal @@aut@@ Ucgun, Nil Irem @@aut@@ Kulahcioglu, Emre @@aut@@
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author	Zeki Fikret, Cenk
spellingShingle	Zeki Fikret, Cenk ddc 620 misc Cardiopulmonary bypass surgery misc Retinal nerve fiber layer misc Ganglion cell layer misc Optic nerve misc Retina misc OCT Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer
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topic_title	620 VZ Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer Cardiopulmonary bypass surgery Retinal nerve fiber layer Ganglion cell layer Optic nerve Retina OCT
topic	ddc 620 misc Cardiopulmonary bypass surgery misc Retinal nerve fiber layer misc Ganglion cell layer misc Optic nerve misc Retina misc OCT
topic_unstemmed	ddc 620 misc Cardiopulmonary bypass surgery misc Retinal nerve fiber layer misc Ganglion cell layer misc Optic nerve misc Retina misc OCT
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title	Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer
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title_full	Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer
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title_sort	early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer
title_auth	Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer
abstract	Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascular surgery clinic were included in the study. Routine ophthalmologic examinations of all patients were performed before and 1 week after surgery. In addition, 3D(H) Macula+5 Line Cross 12 × 9 mm mod and Peripapilar 3D Disk 6 × 6 mm mod data were analyzed with OCT (Topcon, Triton Swept Source-OKT, Tokyo, Japan) device. Peripapillary total, superior, inferior retinal nerve fiber layer (RNFL), optic disc cavity volume, cup-to-disc ratio, macular ganglion cell layer (GCL), macular thickness were compared before and after surgery.Results: After cardiopulmonary bypass surgery, thickening was detected in the total RNFL (p<0.001), superior RNFL (p = 0.01) and inferior RNFL (p<0.001) layers. There was no change in the values of GCL, macular thickness, optic disc cupping volume, cup-to-disc ratio after surgery (p>0.05).Conclusion: RNFL thickening has been detected in patients undergoing cardiopulmonary bypass surgery. This thickening may occur secondary to ischemic edema that occurs during surgery. Considering the late complications of ischemic edema in the RNFL, oxygen levels should be kept at an optimum level during surgery and long-term ophthalmologic follow-ups should be performed.
abstractGer	Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascular surgery clinic were included in the study. Routine ophthalmologic examinations of all patients were performed before and 1 week after surgery. In addition, 3D(H) Macula+5 Line Cross 12 × 9 mm mod and Peripapilar 3D Disk 6 × 6 mm mod data were analyzed with OCT (Topcon, Triton Swept Source-OKT, Tokyo, Japan) device. Peripapillary total, superior, inferior retinal nerve fiber layer (RNFL), optic disc cavity volume, cup-to-disc ratio, macular ganglion cell layer (GCL), macular thickness were compared before and after surgery.Results: After cardiopulmonary bypass surgery, thickening was detected in the total RNFL (p<0.001), superior RNFL (p = 0.01) and inferior RNFL (p<0.001) layers. There was no change in the values of GCL, macular thickness, optic disc cupping volume, cup-to-disc ratio after surgery (p>0.05).Conclusion: RNFL thickening has been detected in patients undergoing cardiopulmonary bypass surgery. This thickening may occur secondary to ischemic edema that occurs during surgery. Considering the late complications of ischemic edema in the RNFL, oxygen levels should be kept at an optimum level during surgery and long-term ophthalmologic follow-ups should be performed.
abstract_unstemmed	Purpose: To determine the effects of cardiopulmonary bypass surgery on retinal nerve fiber layer, ganglion cell layer, and macula by optic coherens tomography (OCT).Method: Sixty-six eyes of 33 patients aged between 44 and 74 who were indicated for cardiopulmonary bypass surgery in the cardiovascular surgery clinic were included in the study. Routine ophthalmologic examinations of all patients were performed before and 1 week after surgery. In addition, 3D(H) Macula+5 Line Cross 12 × 9 mm mod and Peripapilar 3D Disk 6 × 6 mm mod data were analyzed with OCT (Topcon, Triton Swept Source-OKT, Tokyo, Japan) device. Peripapillary total, superior, inferior retinal nerve fiber layer (RNFL), optic disc cavity volume, cup-to-disc ratio, macular ganglion cell layer (GCL), macular thickness were compared before and after surgery.Results: After cardiopulmonary bypass surgery, thickening was detected in the total RNFL (p<0.001), superior RNFL (p = 0.01) and inferior RNFL (p<0.001) layers. There was no change in the values of GCL, macular thickness, optic disc cupping volume, cup-to-disc ratio after surgery (p>0.05).Conclusion: RNFL thickening has been detected in patients undergoing cardiopulmonary bypass surgery. This thickening may occur secondary to ischemic edema that occurs during surgery. Considering the late complications of ischemic edema in the RNFL, oxygen levels should be kept at an optimum level during surgery and long-term ophthalmologic follow-ups should be performed.
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title_short	Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer
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author2	Simsek, Erdal Ucgun, Nil Irem Kulahcioglu, Emre
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up_date	2024-07-06T16:59:07.202Z
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Early effects of cardiopulmonary bypass surgery on retinal nerve fiber layer and ganglion cell layer

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