Artikel
Successive bilateral angle closure glaucoma following general anesthesia
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Autoren
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D. Varcholova
- Eye Department of Charles University, Prague, Czech Republic
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E. Ruzickova
- Eye Department of Charles University, Prague, Czech Republic
| Veröffentlicht: | 22. September 2004 |
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Gliederung
Text
Objective
The authors describe a case of 52-year-old woman with successive bilateral angle closure glaucoma following reccurent surgery in general anesthesia (craniotomy for tumor resection).
Methods
Patient had a complete ophthalmological examination including best corrected visual acuity (BCVA), slit-lamp biomicroscopy of the anterior segment, applanation tonometry, gonioscopy, direct ophthalmoscopy of the optic nerve head and visual field examination. Medical treatment and laser iridotomy of both eyes was performed.
Results
On the first ophthalmological examination the right eye was unfortunately blind for absolute glaucoma, BCVA in the left eye was 0,08, the mean IOP in the right eye was 48±2 mmHg and in the left eye 27±6 mmHg. The mean IOP after laser iridotomy with fixed combination of pilocarpine 2% and timolol 0,5% was 14±3 mmHg in both eyes, the right eye remained blind and BCVA in the left eye improved to 0,4.
Conclusions
General anesthesia can be the triggering factor for acute angle closure glaucoma in predisposed individuals. The symptoms may be overlooked particularly during postoperative sedation or in postoperative comatose pacient.
