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Postoperative Acute Angle-Closure Glaucoma

A Rare but Serious Complication

A Case Report

Roor, Tessa L., MD*; Kooijman, Johan A., MD*; van der Ploeg, J. Marinus, MD; de Boer, Hans D., MD, PhD*

doi: 10.1213/XAA.0000000000000935
Case Reports
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Acute angle-closure glaucoma is a rare complication of general anesthesia. If not treated in time, acute angle-closure glaucoma can potentially cause permanent loss of vision. Physicians should therefore be vigilant for the possibility of acute angle-closure glaucoma in patients who experience postoperative change or loss of vision. Recently, some reported a case of bilateral acute angle-closure glaucoma after general anesthesia, in which the use of ephedrine was a possible trigger. This report begins by examining a case of unilateral acute angle-closure glaucoma. The potential triggers of this complication are discussed. This article concludes with a flowchart to aid anesthesiologists to accurately diagnose postoperative ophthalmic pathology.

From the Departments of *Anesthesiology, Pain Medicine and Procedural Sedation and Analgesia

Obstetrics and Gynaecology, Martini General Hospital Groningen, Groningen, the Netherlands.

Accepted for publication October 29, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Tessa L. Roor, MD, Department of Anesthesiology, Pain Medicine and Procedural Sedation and Analgesia, Martini General Hospital Groningen, PO Box 3003, 9700 RM, Groningen, the Netherlands. Address e-mail to tessaroor@gmail.com.

Compendium date: June 03, 2019

© 2019 International Anesthesia Research Society
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