Postoperative Acute Angle-Closure Glaucoma: A Rare but Serious Complication: A Case Report
This article concludes with a flowchart to aid anesthesiologists to accurately diagnose postoperative ophthalmic pathology.
Eye drops such as topical β-blockers are widely used to treat glaucoma and other ocular diseases. We provide an overview of ophthalmic solutions, including β-adrenergic receptor antagonists, for anesthesiologists and others involved in perioperative care. We summarize current evidence about systemic effects of topical β-blockers and other commonly used ophthalmic agents such as parasympathomimetic eye drops, carbonic anhydrase inhibitors, nonsteroidal anti-inflammatory drugs (NSAIDs), and emerging products such as combinations of multiple substances. We call for careful preoperative assessment and perioperat...
The newer version of iPhone, that is iPhone Xs max camera application is opened and a video mode is selected with a with continuous light source on. This device is now slowly advanced towards the patient’s eye (pharmacologically dilated while evaluating under anesthesia) and the optic disc and peripapillary area findings can be documented with great ease. This video graphic and/or standstill images obtained from the video can be stored in the smartphones or on the cloud memory for future assessment/comparison.
Abstract This case report presents a rare association of a complete aniridia with lenticular and choroidal coloboma. An 8-year-old female patient was referred to our glaucoma clinic with aniridia, nystagmus and bilateral corneal opacity with right eye being phthisical. Ultrasonography of the phthisical eye revealed the presence of an old closed funnel retinal detachment. Further examination under anaesthesia revealed lens coloboma in the inferonasal quadrant and presence of a choroidal coloboma in the left eye. The intraocular pressure was 28 mmHg with a central corneal thickness of 693 µm. A m...
Glaucoma patient for trabeculectomy. Actually only found out postop when nurse noticed pt was odd. Altered cognition, imbalance, other non-focal neuro deficits Had a mild AKI from diuresis, bicarb low, LFTs ok Notably related onset of symptoms to within a day of starting diamox Also determined to be taking at least 2x (perhaps 4x) the prescribed dose -- immediately suspected OD, with much lower suspicion for ddx including cerebellar stroke Poison control center confirmed ssx c/w diamox... Diamox overdose
Conclusion: Indian eyes have a lower rate of axial length growth and keratometry change in comparison with western eyes implying smaller undercorrection in emmetropic IOL power for Indian pediatric eyes to achieve a moderate amount of hyperopia.
CONCLUSION: Intraluminal Ahmed glaucoma valve occlusion with cauterized suture is a simple, quick, reversible, and effective technique that may offer a minimally invasive way to resolve hypotony maculopathy in complex cases and avoid severe loss of vision. PMID: 31177825 [PubMed - as supplied by publisher]
Conditions: Anesthesia; Intraocular Pressure; Glaucoma, Suspect; Pediatric Glaucoma Intervention: Sponsor: Johannes Gutenberg University Mainz Not yet recruiting
Obstructive sleep apnea (OSA) is a disorder characterized by breathing cessation caused by obstruction of the upper airway during sleep. It is associated with multiorgan comorbidities such as obesity, hypertension, heart failure, arrhythmias, diabetes mellitus, and stroke. Patients with OSA have an increased prevalence of ophthalmic disorders such as cataract, glaucoma, central serous retinopathy (detachment of retina, macular hole), eyelid laxity, keratoconus, and nonarteritic anterior ischemic optic neuropathy; and some might require surgery.
Measuring intraocular pressure (IOP) is the cornerstone of a comprehensive glaucoma exam. In babies or small children, however, IOP measurements are problematic, cannot often be done at the slit lamp, and are sometimes require general anesthesia. Therefore, it is essential for an ophthalmologist who examines a pediatric patient to be aware of the different tonometers used in children, as well as the effects of central corneal thickness (CCT) and anesthesia on IOP measurements. Goldmann applanation tonometry is the gold standard for IOP assessment.