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Bilateral angle closure glaucoma following general anaesthesia.

K Mohan Raj¹, P Arun Subhash Reddy¹, Vikram Chella Kumar¹

¹Department of Ophthalmology, Lippincott Williams & Wilkins, Glaucoma Institute, Saint Joseph Hospital, Paris, France.

Journal of Pharmacy & Bioallied Sciences

|May 28, 2015

Summary

Angle closure glaucoma, an ophthalmic emergency, can rarely occur after general anesthesia. Prompt treatment with medications and YAG laser iridotomy successfully restored vision in a patient who developed this complication post-hysterectomy.

Keywords:

Acute angle closure glaucoma YAG iridotomy atropine circum ciliary congestion general anaesthesia

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Area of Science:

Ophthalmology
Anesthesiology
Surgical Complications

Background:

Angle closure glaucoma (ACG) is an ophthalmic emergency requiring prompt intervention.
ACG is a rare but serious complication associated with general anesthesia.
Hysterectomy is a common surgical procedure that may necessitate general anesthesia.

Observation:

A female patient developed bilateral angle closure glaucoma following a hysterectomy performed under general anesthesia.
The onset of glaucoma occurred post-operatively, indicating a potential link to the anesthetic or surgical procedure.

Findings:

The patient presented with acute bilateral angle closure glaucoma.
Treatment involved a multi-modal approach including antiglaucoma medications and YAG laser peripheral iridotomy (YAG PI).

Implications:

This case highlights the importance of vigilance for rare ophthalmic complications in patients undergoing general anesthesia.
Early diagnosis and appropriate management, including YAG laser iridotomy, are crucial for vision recovery in angle closure glaucoma.
Anesthesiologists and ophthalmologists should be aware of this potential association to ensure timely patient care.