Incidence of corneal abrasions during pelvic reconstructive surgery

Ocular complications in robotic surgery

BACKGROUND

The penetration of robotic technology in various surgical fields may increase ocular complications.

METHODS

A systematic search was performed in both PubMed and Scopus databases.

RESULTS

Eight articles were retrieved by the literature search. In total, 142 patients were included in the study. The most frequent complication was increased intra-ocular pressure. Corneal abrasion, ischaemic optic neuropathy and postoperative visual loss were also reported. The duration of operations was 1.7-9.9 h; mean intra-ocular pressure was 3.6-13.3 mmHg; estimated blood loss was 29.7-1200 ml; and administered intravenous fluids were 1.600-4.300 ml.

CONCLUSIONS

Meticulous preoperative ophthalmological assessment, restriction of intravenous fluids, 'rest stops', eyelid taping and ocular dressings are the major protective measures suggested by the literature. Collaboration between the surgical team and the anaesthetist is also essential. Copyright © 2014 John Wiley & Sons, Ltd.