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Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents
Published on: February 15, 2022
[Postoperative unilateral acute glaucoma after abdominal surgery]
L A Hidalgo Grau1, L L Opisso Juliá, A Roqué Meseguer
1Servicio de Cirugía General y Digestiva, Hospital de Mataró, Consorci Sanitari del Maresme, España. lhidalgo@csdm.cat
Revista Espanola De Anestesiologia Y Reanimacion
|July 4, 2012
Summary
Early diagnosis of acute angle closure glaucoma (AACG) is crucial for better outcomes. This case highlights AACG development post-surgery due to anesthesia drugs, emphasizing prompt recognition and intervention.
Area of Science:
- Ophthalmology
- Anesthesiology
- Oncology
Background:
- Acute angle closure glaucoma (AACG) diagnosis significantly impacts post-operative prognosis.
- AACG can occur post-operatively, particularly in patients with predisposing ocular factors.
- Anesthetic drugs can contribute to pupillary block, a risk factor for AACG.
Observation:
- A 90-year-old woman developed AACG 12 hours after colon tumor surgery.
- Symptoms included periorbital pain, ocular hyperemia, blurred vision, and unresponsive mydriasis.
- Conservative treatment was initiated, but YAG laser iridotomies were necessary.
Findings:
- Postoperative AACG can be triggered by anesthetic agents like adrenergic and anticholinergic drugs.
- Predisposing factors for AACG include genetic predisposition, female gender, hypermetropia, increased lens thickness, and small corneal diameter.
- Pupillary block induced by anesthetic drugs can precipitate AACG in susceptible individuals.
Implications:
- Physicians must be vigilant for acute periorbital or ocular pain post-surgery.
- Differential diagnosis should include AACG and other postoperative ocular and cranial pain causes.
- Timely diagnosis and intervention, including YAG laser iridotomies, are vital for managing AACG and improving patient outcomes.
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