An Eye-Popping Experience Immediately After Intubation: A Case Report

Area of Science:

• Anesthesiology
• Ophthalmology
• Surgical Complications

Background:

• Intubation is a common procedure during general anesthesia.
• Ocular complications following intubation are rare but can be serious.
• Preoperative evaluation is crucial for identifying patients at risk.

Observation:

• A patient developed unilateral proptosis (eye bulging) immediately after intubation for laparoscopic ventral hernia repair.
• The patient's blood pressure was elevated at 167/111 mm Hg during intubation.
• The surgical procedure was postponed, and anesthesia was discontinued.

Findings:

• The proptosis resolved spontaneously upon extubation, suggesting a direct link to the intubation process.
• This is the first reported case of proptosis secondary to endotracheal intubation.
• Elevated blood pressure may be a contributing factor to this rare complication.

Implications:

• This case highlights the importance of recognizing and managing rare ocular complications associated with intubation.
• Anesthesiologists and surgeons should be aware of potential eye injuries during airway management.
• Thorough preoperative assessment, including cardiovascular status, is essential to minimize risks.