title: Acute angle-closure glaucoma after general anesthesia for bone grafting.
abstract: Acute angle-closure glaucoma (AACG) is a rare complication of general anesthesia. The coexistence of individual risk factors for postoperative AACG and factors associated with intraocular hypertension are considered to be required for postoperative AACG to develop. We present a case of AACG after general anesthesia for oral bone grafting in a patient with no preoperative eye symptoms. In this case, several factors such as postoperative care in a darkened room, psychological stress, and postoperative hypertension may have precipitated the event in this patient, who may have had preexisting undiagnosed elevated intraocular pressure. The interval between the earliest appearance of symptoms at 9 hours and the ultimate diagnosis was 36 hours. In the postoperative period following general anesthesia, any patient is at risk for AACG. It is important that a postoperative diagnosis of AACG should be considered and a timely consultation with an ophthalmologist be considered if a postoperative patient complains of red eyes, visual disorder, eye pain, headache, and nausea.
authors.affiliation: Department of Dental Anesthesiology, Graduate School of Dental Medicine, Hokkaido University, Sapporo, Japan.
authors.forename: Yukie
authors.initials: Y
authors.lastname: Nitta
authors.forename: Nobuhito
authors.initials: N
authors.lastname: Kamekura
authors.forename: Shigeru
authors.initials: S
authors.lastname: Takuma
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Fujisawa
mesh_terms: D000540:Alveolar Ridge Augmentation / Q000379:methods*; D000732:Androstanols / Q000627:therapeutic use; D000768:Anesthesia, General / Q000009:adverse effects*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D003624:Darkness; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage; D015812:Glaucoma, Angle-Closure / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000209:etiology; D008875:Middle Aged; D019148:Neuromuscular Blockade; D003473:Neuromuscular Nondepolarizing Agents / Q000627:therapeutic use; D009798:Ocular Hypertension / Q000209:etiology; D011183:Postoperative Complications; D020250:Postoperative Nausea and Vomiting / Q000209:etiology; D015742:Propofol / Q000008:administration & dosage; D012307:Risk Factors; D000077123:Rocuronium; D013315:Stress, Psychological / Q000209:etiology
chemical_list: D000732:Androstanols; D018686:Anesthetics, Intravenous; D003473:Neuromuscular Nondepolarizing Agents; D005283:Fentanyl; D000077123:Rocuronium; D015742:Propofol
keywords: Acute angle-closure glaucoma; General anesthesia; Postoperative ophthalmological emergency