title: [Perioperative treatment for the urgent orbital decompression surgery in a 30-weeks pregnant woman with Graves' orbitopathy].
abstract: Thyroid ophthalmopathy is a rare extra-thyroid complication usually associated with Graves' disease. This disease can occur in the euthyroid pregnant patient. Graves' orbitopathy is characterized by eyelid retraction, proptosis, extraocular muscle dysfunction, and periorbital edema. In some cases an emergency surgical repair may be required to avoid irreversible vision loss. We present the case of a 35-year-old woman in her 30th gestational week, who suffered from Graves' ophthalmopathy, severe exophthalmia, and visual acuity decrease. Following consultations among anesthesiologists, ophthalmologists, maxillofacial surgeons, endocrinologists, obstetricians and the patient, it was decided to perform a surgical orbital wall decompression. The anesthetic and perioperative implications associated with gestational age and the considerations for this surgical procedure, and how to avoid increasing intraocular pressure are discussed.
authors.affiliation: FEA Anestesiología y Reanimación, Hospitales Universitarios Virgen del Rocío, Sevilla, España. Electronic address: rosanabixi7@hotmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Guerrero-Domínguez
authors.affiliation: FEA Anestesiología y Reanimación, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
authors.forename: D
authors.initials: D
authors.lastname: López-Herrera-Rodríguez
authors.affiliation: FEA Anestesiología y Reanimación, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
authors.forename: A
authors.initials: A
authors.lastname: Domínguez-Blanco
authors.affiliation: FEA Anestesiología y Reanimación, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
authors.forename: I
authors.initials: I
authors.lastname: Medina-de Moya
authors.affiliation: FEA Anestesiología y Reanimación, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
authors.forename: F
authors.initials: F
authors.lastname: Sánchez-Carrillo
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D019072:Antibiotic Prophylaxis; D019299:Decompression, Surgical; D004630:Emergencies; D005094:Exophthalmos / Q000209:etiology / Q000601:surgery; D005260:Female; D049970:Graves Ophthalmopathy / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D009915:Orbit / Q000601:surgery; D019990:Perioperative Care / Q000379:methods*; D011229:Preanesthetic Medication; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography
keywords: Anestesia; Anesthesia; Cirugía de descompresión orbitaria; Embarazo; Graves-Basedow; Oftalmopatía; Ophthalmopathy; Orbital decompression surgery; Orbitopathy; Orbitopatía; Pregnancy