[A case of angle closure glaucoma attack treated during perioperative period of emergency ileus operation].
Angle-closure glaucoma is a severe disease that may lead to loss of eyesight. We report a case of an 80-year-old woman diagnosed as left angle-closure glaucoma just before the emergency ileus operation. Before the operation, pilocarpine eye drop was given for the left eye and laser-iridotomy for the right eye was performed, with mannitol given as indicated by the ophthalmologist. After the operation, eye drop was administered to both eyes until she left the surgical ward 20 days after the operation. Three days after the operation the patient had another attack and mannitol was given again. The cause of the attacks was unclear, but the treatment was effective and the patient showed a good recovery. Twenty six days after the operation, the patient was admitted to the ophthalmic ward and underwent extracapsular extraction of the senile cataract of the left eye, which was also a treatment for the glaucoma. Anatomical structure of the eye, changes in environment, medicine, and anesthetic maneuvers have effects on the eye pressure. In addition to efforts to prevent the attack, quick discovery and adequate treatment are important for angle-closure glaucoma.
Ishibashi
Sakurako
S
Department of Anesthesiology and Pain Clinic, Tokyo Medical and Dental University, Tokyo.
Kawano
Mari
M
Goto
Toshiko
T
D000368:Aged; D000369:Aged, 80 and over; D004630:Emergencies; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000628:therapy*; D006801:Humans; D045823:Ileus / Q000601:surgery*; D007498:Iris / Q000601:surgery; D053685:Laser Therapy; D008916:Miotics / Q000008:administration & dosage; D010862:Pilocarpine / Q000008:administration & dosage
D008916:Miotics; D010862:Pilocarpine