Department of Anesthesia and Intensive Care, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.
Anesth Analg. 2011 Jan;112(1):126-8. doi: 10.1213/ANE.0b013e3182009ad6. Epub 2010 Nov 16.
Acute angle closure glaucoma is a rare complication of general anesthesia. However, in case of delayed diagnosis, it may lead to blindness. We present a case of bilateral acute angle closure glaucoma after cervical spine surgery under general anesthesia in a hypermetropic patient. In this case, the most likely trigger was the use of ephedrine, but nefopam administration and the prone surgical position are discussed as additional potential factors.
急性闭角型青光眼是全身麻醉的罕见并发症。然而,如果诊断延迟,可能会导致失明。我们报告了一例远视患者全麻下颈椎手术后双侧急性闭角型青光眼。在这种情况下,最有可能的诱因是使用麻黄碱,但也讨论了给予奈福泮和俯卧手术体位作为其他潜在因素。