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Acute angle-closure glaucoma after general anesthesia for bone grafting.

Yukie Nitta1, Nobuhito Kamekura, Shigeru Takuma

  • 1Department of Dental Anesthesiology, Graduate School of Dental Medicine, Hokkaido University, Sapporo, Japan.

Anesthesia Progress
|December 18, 2014
PubMed
Summary

Acute angle-closure glaucoma (AACG) is a rare risk after general anesthesia. Prompt ophthalmologist consultation is crucial for patients with postoperative eye pain or vision changes.

Keywords:
Acute angle-closure glaucomaGeneral anesthesiaPostoperative ophthalmological emergency

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Area of Science:

  • Ophthalmology
  • Anesthesiology

Background:

  • Acute angle-closure glaucoma (AACG) is a rare but serious complication following general anesthesia.
  • AACG development typically requires a combination of patient-specific risk factors and intraocular hypertension factors.

Purpose of the Study:

  • To report a case of AACG occurring after general anesthesia for oral bone grafting in a patient without prior eye symptoms.
  • To highlight potential precipitating factors and emphasize the importance of early diagnosis and intervention.

Main Methods:

  • Case report presentation.
  • Review of clinical presentation, anesthetic management, and postoperative course.
  • Discussion of potential contributing factors including environmental, psychological, and physiological influences.

Main Results:

  • A patient developed AACG 9 hours after general anesthesia for oral bone grafting.
  • Potential contributing factors identified: darkened room, psychological stress, and postoperative hypertension in a patient with likely undiagnosed elevated intraocular pressure.
  • Diagnosis was established 36 hours after symptom onset.

Conclusions:

  • Any patient undergoing general anesthesia is potentially at risk for AACG.
  • Postoperative symptoms such as red eyes, visual disturbances, eye pain, headache, and nausea warrant consideration for AACG.
  • Timely ophthalmological consultation is essential for prompt diagnosis and management of suspected postoperative AACG.