Korean J Anesthesiol.
2014 Mar;66(3):248-251. 10.4097/kjae.2014.66.3.248.
Point-of-care monitoring of perioperative intraocular pressure using portable tonometry in a patient with Posner-Schlossman syndrome: a case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. shkimans@amc.seoul.kr
- 2Department of Anaesthesia, Intensive Care and Pain Management, Axon Anaesthesia Associates, Global Hospitals, Hyderabad, India.
- KMID: 2092454
- DOI: http://doi.org/10.4097/kjae.2014.66.3.248
Abstract
- A 56-year-old man with a rotator cuff injury, scheduled for arthroscopic reconstruction surgery, had a history of recurrent symptoms of eyeball pain and blurred vision for several years. After close examination, he was diagnosed with Posner-Schlossman syndrome. Three weeks before the scheduled surgery, his intraocular pressure (IOP) increased (> 30 mmHg) and he became extremely anxious about the surgery. We monitored his IOP intraoperatively and successfully completed general anesthesia without any sequelae. As Posner-Schlossman syndrome can present with severe complications that may lead to postoperative visual loss, intraoperative monitoring of intraocular monitoring and careful anesthetic management are crucial to protect vision.
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