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[Acute angle-closure glaucoma after total hip replacement surgery]

H Ujino¹, O Morimoto, H Yukioka

¹Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School.

Masui. the Japanese Journal of Anesthesiology

|June 1, 1997

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Acute angle-closure glaucoma is a rare surgical complication. Prompt diagnosis and treatment, including laser iridotomy, are crucial for vision recovery after hip replacement surgery.

Area of Science:

Ophthalmology
Anesthesiology
Surgical Complications

Background:

Acute angle-closure glaucoma is a rare but serious complication following surgical procedures.
This case report details a patient who developed acute glaucoma after total hip replacement under general anesthesia.

Observation:

A 49-year-old female experienced bilateral acute glaucoma with elevated intraocular pressure (IOP) post-surgery.
The patient presented with pain and blurred vision shortly after anesthesia recovery.
Initial medical treatments (glycerol, pilocarpine) were ineffective in lowering IOP.

Findings:

The patient underwent laser iridotomy on postoperative days 5 and 7.
Laser iridotomy resulted in complete vision improvement.
The case highlights the potential for severe vision loss if not promptly addressed.

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Implications:

Early recognition and intervention are critical for managing postoperative acute glaucoma.
Multidisciplinary collaboration between anesthesiology and ophthalmology is essential.
This complication underscores the importance of vigilant postoperative monitoring for ocular changes.