gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

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Successive bilateral angle closure glaucoma following general anesthesia

Meeting Abstract

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  • corresponding author D. Varcholova - Eye Department of Charles University, Prague, Czech Republic
  • E. Ruzickova - Eye Department of Charles University, Prague, Czech Republic

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogP 089

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dog2004/04dog580.shtml

Published: September 22, 2004

© 2004 Varcholova et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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.