[Acute glaucoma following endarterectomy of internal carotid artery].
A 71 year-old woman had 85% and 60% stenoses of the right and left internal carotid arteries, respectively. Right-sided endarterectomy was performed because of amaurosis fugax. Two days postoperatively, she developed classical symptoms and signs of acute glaucoma. Right-sided acute angle closure glaucoma was diagnosed by tonometry and gonioscopy, and treated with laser-iridectomy. The patient was discharged two days later without neurological or ophthalmological deficits. Manifest acute glaucoma postoperatively seems never to have been reported. However, the choroid is not autoregulated, and the intraocular pressure has been reported to increase after internal carotid-endarterectomy.
Lindholt
J S
JS
Skejby Sygehus, Arhus Universitetshospital, hjerte-, lunge-, karkirurgisk afdeling.
Klaerke
A
A
D000208:Acute Disease; D000368:Aged; D020757:Amaurosis Fugax / Q000503:physiopathology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery*; D016893:Carotid Stenosis / Q000503:physiopathology / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D011183:Postoperative Complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery