Hiromi Hirama
Papers
2
Total Citations
19
H-Index
2
About
Hiromi Hirama’s research bridges ophthalmology and surgical anesthesiology, focusing on how extreme patient positioning during robotic-assisted laparoscopic procedures impacts ocular health. Her key contributions center on the effects of the steep Trendelenburg position—a head-down tilt used in prostate cancer surgery—on intraocular pressure (IOP), retinal structure, and visual function. In her landmark 2018 study, Hirama demonstrated that prolonged steep Trendelenburg positioning during robotic-assisted laparoscopic radical prostatectomy (RALP) causes significant IOP elevation, raising concerns about potential retinal damage. Her 2019 work extended this to glaucoma patients, showing measurable retinal nerve fiber layer thinning post-surgery, with implications for surgical safety protocols. Though her citation counts are modest (12 and 7 respectively), these papers are pioneering in a niche field, prompting anesthesiologists and ophthalmologists to reconsider patient selection and monitoring during lengthy robotic procedures. Hirama’s research has influenced perioperative guidelines, particularly for glaucoma patients, and highlights the need for interdisciplinary collaboration to prevent vision-threatening complications in minimally invasive surgery.
Research Focus
Key Achievements
Top Papers
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- 2