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October 1963

Intraocular Pressure in Electroconvulsive Therapy

Author Affiliations

Umea; Stockholm, Sweden
From the Department of Psychiatry (Head: Prof Jan-Otto Ottosson, MD), Medical School, Umeå; the Department of Psychiatry (Head at that time: Prof Torsten Sjögren, MD) and the Department of Ophthalmology (Head: Prof Gösta Karpe, MD, Karolinska, Stockholm.

Arch Ophthalmol. 1963;70(4):462-465. doi:10.1001/archopht.1963.00960050464006

Investigations made hitherto indicate that a temporary rise in the intraocular pressure occurs during electroconvulsive therapy (ECT). Thus measurements made during the convulsive phase, which are rare since they assume a satisfactory degree of muscular relaxation, have shown an increase in tension.13,18 Measurements after the seizure have shown both a rise1,10,11,14 and a drop in tension.3,16,17 The contradictory results are probably due partly to the fact that the time for the measurements varied after the seizure2 and partly to whether the muscular component of the seizure was relaxed or not.12

The purpose of the present investigation was to study, under the conditions provided by modern treatment technique,8 the intraocular pressure before, during, and shortly after the seizure and to study whether, with simple modifications of treatment, the increase of tension can be partly prevented. These problems were actualized for us when we were faced

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