Postoperative Acute Angle-Closure Glaucoma: A Rare but Serious Complication: A Case Report.

A A Pract

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

Published: June 2019

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.

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http://dx.doi.org/10.1213/XAA.0000000000000935DOI Listing

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