{"id":"https://openalex.org/W2494421036","doi":"https://doi.org/10.1097/ico.0000000000000945","title":"Positive End-Expiratory Pressure as a Risk Factor for Severe Positive Vitreous Pressure During Combined Penetrating Keratoplasty and Cataract Extraction","display_name":"Positive End-Expiratory Pressure as a Risk Factor for Severe Positive Vitreous Pressure During Combined Penetrating Keratoplasty and Cataract Extraction","publication_year":2016,"publication_date":"2016-07-21","ids":{"openalex":"https://openalex.org/W2494421036","doi":"https://doi.org/10.1097/ico.0000000000000945","mag":"2494421036","pmid":"https://pubmed.ncbi.nlm.nih.gov/27442320"},"language":"en","primary_location":{"id":"doi:10.1097/ico.0000000000000945","doi":"https://doi.org/10.1097/ico.0000000000000945","is_oa":false,"landing_page_url":"https://doi.org/10.1097/ico.0000000000000945","pdf_url":null,"source":{"id":"https://openalex.org/S145806103","display_name":"Cornea","issn_l":"0277-3740","issn":["0277-3740","1536-4798"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cornea","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065574785","display_name":"Angelique Pillar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]},{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Angelique Pillar","raw_affiliation_strings":["*Cole Eye Institute, Cleveland Clinic, Cleveland, OH; and \u2020Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, MD","*Cole Eye Institute, Cleveland Clinic, Cleveland, OH","Accepted May 27, 2016","Received March 14, 2016","Received in revised form May 13, 2016","Reprints: Wuqaas M. Munir, MD, 419 W Redwood St, Suite 470, Baltimore, MD 21201 (e-mail: [email\u00a0protected])","Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.corneajrnl.com)","The authors have no funding or conflicts of interest to disclose","\u2020Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"*Cole Eye Institute, Cleveland Clinic, Cleveland, OH; and \u2020Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I1316902750"]},{"raw_affiliation_string":"*Cole Eye Institute, Cleveland Clinic, Cleveland, OH","institution_ids":["https://openalex.org/I1316902750"]},{"raw_affiliation_string":"Accepted May 27, 2016","institution_ids":[]},{"raw_affiliation_string":"Received March 14, 2016","institution_ids":[]},{"raw_affiliation_string":"Received in revised form May 13, 2016","institution_ids":[]},{"raw_affiliation_string":"Reprints: Wuqaas M. Munir, MD, 419 W Redwood St, Suite 470, Baltimore, MD 21201 (e-mail: [email\u00a0protected])","institution_ids":[]},{"raw_affiliation_string":"Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.corneajrnl.com)","institution_ids":[]},{"raw_affiliation_string":"The authors have no funding or conflicts of interest to disclose","institution_ids":[]},{"raw_affiliation_string":"\u2020Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085703282","display_name":"Bennie H. Jeng","orcid":"https://orcid.org/0009-0001-7259-0885","observed_orcids":["https://orcid.org/0009-0001-7259-0885"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]},{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bennie H. Jeng","raw_affiliation_strings":["and","*Cole Eye Institute, Cleveland Clinic, Cleveland, OH","Accepted May 27, 2016","Received March 14, 2016","Received in revised form May 13, 2016","Reprints: Wuqaas M. Munir, MD, 419 W Redwood St, Suite 470, Baltimore, MD 21201 (e-mail: [email\u00a0protected])","Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.corneajrnl.com)","The authors have no funding or conflicts of interest to disclose","\u2020Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"and","institution_ids":[]},{"raw_affiliation_string":"*Cole Eye Institute, Cleveland Clinic, Cleveland, OH","institution_ids":["https://openalex.org/I1316902750"]},{"raw_affiliation_string":"Accepted May 27, 2016","institution_ids":[]},{"raw_affiliation_string":"Received March 14, 2016","institution_ids":[]},{"raw_affiliation_string":"Received in revised form May 13, 2016","institution_ids":[]},{"raw_affiliation_string":"Reprints: Wuqaas M. Munir, MD, 419 W Redwood St, Suite 470, Baltimore, MD 21201 (e-mail: [email\u00a0protected])","institution_ids":[]},{"raw_affiliation_string":"Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.corneajrnl.com)","institution_ids":[]},{"raw_affiliation_string":"The authors have no funding or conflicts of interest to disclose","institution_ids":[]},{"raw_affiliation_string":"\u2020Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5090915671","display_name":"Wuqaas M. Munir","orcid":"https://orcid.org/0000-0001-8070-6668","observed_orcids":["https://orcid.org/0000-0001-8070-6668"]},"institutions":[{"id":"https://openalex.org/I126744593","display_name":"University of Maryland, Baltimore","ror":"https://ror.org/04rq5mt64","country_code":"US","type":"education","lineage":["https://openalex.org/I126744593"]},{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Wuqaas M. Munir","raw_affiliation_strings":["and","*Cole Eye Institute, Cleveland Clinic, Cleveland, OH","Accepted May 27, 2016","Received March 14, 2016","Received in revised form May 13, 2016","Reprints: Wuqaas M. Munir, MD, 419 W Redwood St, Suite 470, Baltimore, MD 21201 (e-mail: [email\u00a0protected])","Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.corneajrnl.com)","The authors have no funding or conflicts of interest to disclose","\u2020Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"and","institution_ids":[]},{"raw_affiliation_string":"*Cole Eye Institute, Cleveland Clinic, Cleveland, OH","institution_ids":["https://openalex.org/I1316902750"]},{"raw_affiliation_string":"Accepted May 27, 2016","institution_ids":[]},{"raw_affiliation_string":"Received March 14, 2016","institution_ids":[]},{"raw_affiliation_string":"Received in revised form May 13, 2016","institution_ids":[]},{"raw_affiliation_string":"Reprints: Wuqaas M. Munir, MD, 419 W Redwood St, Suite 470, Baltimore, MD 21201 (e-mail: [email\u00a0protected])","institution_ids":[]},{"raw_affiliation_string":"Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.corneajrnl.com)","institution_ids":[]},{"raw_affiliation_string":"The authors have no funding or conflicts of interest to disclose","institution_ids":[]},{"raw_affiliation_string":"\u2020Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, MD","institution_ids":["https://openalex.org/I126744593"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.7087,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.74181435,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"35","issue":"11","first_page":"1491","last_page":"1494"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11291","display_name":"Intraocular Surgery and Lenses","score":0.9804999828338623,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11291","display_name":"Intraocular Surgery and Lenses","score":0.9804999828338623,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11377","display_name":"Retinal and Macular Surgery","score":0.003599999938160181,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10563","display_name":"Corneal surgery and disorders","score":0.0024999999441206455,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/positive-end-expiratory-pressure","display_name":"positive end-expiratory pressure","score":0.9980000257492065},{"id":"https://openalex.org/keywords/penetrating-keratoplasty","display_name":"penetrating keratoplasty","score":0.9179999828338623},{"id":"https://openalex.org/keywords/cataract-surgery","display_name":"cataract surgery","score":0.9319999814033508},{"id":"https://openalex.org/keywords/intraocular-lens-implantation","display_name":"intraocular lens implantation","score":0.9440000057220459},{"id":"https://openalex.org/keywords/triple-procedure","display_name":"triple procedure","score":0.8399999737739563},{"id":"https://openalex.org/keywords/endotracheal-anesthesia","display_name":"endotracheal anesthesia","score":0.8339999914169312},{"id":"https://openalex.org/keywords/intraocular-pressure","display_name":"intraocular pressure","score":0.5299999713897705},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.3490000069141388}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8633565902709961},{"id":"https://openalex.org/C2781092963","wikidata":"https://www.wikidata.org/wiki/Q650050","display_name":"Intraocular pressure","level":2,"score":0.6885620951652527},{"id":"https://openalex.org/C2778917391","wikidata":"https://www.wikidata.org/wiki/Q352381","display_name":"Positive end-expiratory pressure","level":3,"score":0.6376874446868896},{"id":"https://openalex.org/C3020256872","wikidata":"https://www.wikidata.org/wiki/Q1818260","display_name":"Cataract extraction","level":2,"score":0.6216360330581665},{"id":"https://openalex.org/C118487528","wikidata":"https://www.wikidata.org/wiki/Q161437","display_name":"Ophthalmology","level":1,"score":0.5736228823661804},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.4506549537181854},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3877516984939575},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2686602771282196},{"id":"https://openalex.org/C2777080012","wikidata":"https://www.wikidata.org/wiki/Q3766250","display_name":"Mechanical ventilation","level":2,"score":0.14433717727661133}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002387","descriptor_name":"Cataract Extraction","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007429","descriptor_name":"Intraocular Pressure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009798","descriptor_name":"Ocular Hypertension","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D011175","descriptor_name":"Positive-Pressure Respiration","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014792","descriptor_name":"Visual Acuity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014822","descriptor_name":"Vitreous Body","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D015948","descriptor_name":"Keratoplasty, Penetrating","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019654","descriptor_name":"Lens Implantation, Intraocular","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/ico.0000000000000945","doi":"https://doi.org/10.1097/ico.0000000000000945","is_oa":false,"landing_page_url":"https://doi.org/10.1097/ico.0000000000000945","pdf_url":null,"source":{"id":"https://openalex.org/S145806103","display_name":"Cornea","issn_l":"0277-3740","issn":["0277-3740","1536-4798"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cornea","raw_type":"journal-article"},{"id":"pmid:27442320","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27442320","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cornea","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","score":0.550000011920929,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1820839252","https://openalex.org/W1967145026","https://openalex.org/W2036723491","https://openalex.org/W2068039907","https://openalex.org/W2075081484","https://openalex.org/W2082301458","https://openalex.org/W2083300164","https://openalex.org/W2089406771","https://openalex.org/W2144986849","https://openalex.org/W2316920300","https://openalex.org/W2415141650"],"related_works":["https://openalex.org/W4320731067","https://openalex.org/W2068039907","https://openalex.org/W2343858140","https://openalex.org/W2534436425","https://openalex.org/W4285733991","https://openalex.org/W2383822133","https://openalex.org/W2927059456","https://openalex.org/W1965542540","https://openalex.org/W2329881159","https://openalex.org/W2082301458"],"abstract_inverted_index":{"PURPOSE:":[0],"To":[1],"report":[2,37],"the":[3,66,88,95,108,129],"potential":[4,142],"risk":[5,102,120],"of":[6,38,97,110,132,140],"severe":[7,59,74,123],"positive":[8,24,60,124],"vitreous":[9,76,126],"pressure":[10,26,62,77],"during":[11,28,57,65,87],"combined":[12],"penetrating":[13,48],"keratoplasty,":[14,49],"cataract":[15],"extraction,":[16,52],"and":[17,42,53,138],"intraocular":[18,54,84],"lens":[19,51,55,68,85],"implantation":[20,56,86],"(triple":[21],"procedure),":[22],"using":[23],"end-expiratory":[25],"(PEEP)":[27],"general":[29],"endotracheal":[30],"anesthesia.":[31],"METHODS:":[32],"This":[33],"is":[34],"a":[35,39,43,119],"case":[36],"32-year-old":[40],"man":[41,45],"48-year-old":[44],"who":[46],"underwent":[47],"extracapsular":[50],"which":[58],"posterior":[61,75,81,98,125],"was":[63],"encountered":[64],"open-sky":[67,114],"extraction.":[69],"RESULTS:":[70],"In":[71],"both":[72],"cases,":[73],"against":[78],"an":[79],"intact":[80],"capsule":[82],"hindered":[83],"triple":[89],"procedure.":[90],"Despite":[91],"exhaustive":[92],"search":[93],"for":[94,122],"cause":[96],"pressure,":[99],"no":[100],"other":[101,106],"factors":[103],"were":[104],"found":[105],"than":[107],"use":[109,131],"PEEP.":[111],"CONCLUSIONS:":[112],"During":[113],"procedures,":[115],"PEEP":[116],"may":[117],"be":[118,136],"factor":[121],"pressure.":[127],"Given":[128],"rising":[130],"PEEP,":[133],"surgeons":[134],"should":[135],"aware":[137],"cautious":[139],"this":[141],"complication.":[143]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-08-23T00:00:00"}