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Critical Care: Critical Care: Mechanical Ventilation |

Effects of Positive Pressure Ventilation on Glaucoma: Two Case Reports With Literature Review FREE TO VIEW

Zhuo Wang, MD
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Beijing Jishuitan Hospital, Beijiing, China


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A160. doi:10.1016/j.chest.2016.02.166
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SESSION TITLE: Critical Care: Mechanical Ventilation

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: To improve understanding of the glaucoma induced by positive pressure mechanical ventilation.

METHODS: A retrospective analysis of two cases of glaucoma induced by positive pressure mechanical ventilation and literature review was conducted.

RESULTS: One patient was a 77-year-old obese woman with a history of chronic obstructive pulmonary disease (COPD), hypertension and diabetes. The other was a 75-year-old thin man with interstitial pneumonitis, peptic ulcer. Both patients denied the history of glaucoma and other ocular diseases. The female patient was undergoing no-invasive positive pressure mechanical ventilation. The mode was BiPAP, IPAP 10cmH2O, EPAP 4cmH2O. She reported blind in the right eye 8 days after mechanical ventilation. The male patient was undergoing endotracheal intubation and positive pressure mechanical ventilation. The mode was A/C, FiO2 60% PEEP 5cmH2O, Ps 20cmH2O, f 15cmH2O. He reported tears and pain in both eyes 7 days after mechanical ventilation. The two patients were diagnosed as acute glaucoma. After treatment one patient’s eyesight recovered, but the other lost her sight.

CONCLUSIONS: The glaucoma could be induced by positive pressure mechanical ventilation. The medical stuff need pay more attention to the complication of mechanical ventilation.

CLINICAL IMPLICATIONS: To improve understanding of the glaucoma induced by positive pressure mechanical ventilation.

DISCLOSURE: The following authors have nothing to disclose: Zhuo Wang

No Product/Research Disclosure Information


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