General anesthesia for patient with homocystinuria--a case report.
Homocystinuria is an autosomal recessive disease with multiple systemic disorders. Here we report a 15-year-old lad suffering from homocystinuria who required an ocular surgery including lentectomy and implant of plastic lens, OS and anterior retinal cryotherapy, OD under general anesthesia because of lens subluxation and lattice degeneration. It is the elective ocular procedure most commonly performed for homocystinuric children. Proper precautions should be taken during anesthetic management since this condition inspires some particular anesthetic complications that could be prevented by careful consideration and understanding of its pathophysiology. Providentially our patient stood the operation well and was discharged without subsequent thromboembolism or other complication as an aftermath.
Teng
Yun-Hui
YH
Department of Anesthesiology, Taipei Veterans General Hospital and National Yung-Ming University School of Medicine, Taiwan, R.O.C.
Sung
Chun-Sung
CS
Liao
Wen-Wei
WW
Kao
Sheng-Chin
SC
Huang
Yu-Yin
YY
Tsou
Mei-Yung
MY
Tsai
Shen-Kou
SK
D000293:Adolescent; D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods*; D006712:Homocystinuria / Q000150:complications*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control*; D013923:Thromboembolism / Q000517:prevention & control*