Positioning of a morbidly obese patient during retinal surgery.

Indian J Ophthalmol

Department of Vitreo Retinal Surgery, Aditya Jyot Eye Hospital, Mumbai, Maharashtra, India.

Published: July 2019

A body mass index (BMI) ≥35 kg/m is classified as obese, and a BMI ≥40 kg/m is classified as morbidly obese. Obese people are at a higher risk for developing cardiovascular complications like ischemic heart diseases, congestive cardiac failure, hypertension, type 2 diabetes mellitus and obstructive sleep apnea (OSA) among other health issues. Central obesity can also increase the pleural pressure and cardiac filling pressures, thus increasing the intracranial (ICP) and intraocular pressure (IOP). These clinical co-morbidities can make retina surgeries, which require patient in supine position for 45-90 minutes, a challenging task. We present our experience in the intraoperative positioning of such a patient who underwent surgery for retinal detachment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611284PMC
http://dx.doi.org/10.4103/ijo.IJO_1951_18DOI Listing

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