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Abstract #52710 Published in IGR 15-1
Glycopyrrolate induced bilateral angle closure glaucoma after cervical spine surgery
Jaroudi M; Fadi M; Farah F; El Mollayess GMMiddle East African Journal of Ophthalmology 2013; 20: 182-184
To report a case of bilateral acute angle closure glaucoma (AACG) that occurred after cervical spine surgery with the use of glycopyrolate. A 59-year-old male who presented with severe bilateral bifrontal headache and eye pain that started 12 h postextubation from a cervical spine surgery. Neostigmine 0.05 mg/kg (4.5 mg) and glycopyrrolate 0.01 mg/kg (0.9 mg) were used as muscle relaxant reversals at the end of the surgery. Ophthalmic examination revealed he had bilateral AACG with plateau iris syndrome that was treated medically along with laser iridotomies. Thorough examination of anterior chamber should be performed preoperatively on all patients undergoing surgeries in the prone position and receiving mydriatic agents under general anesthesia.
Department of Ophthalmology, American University of Beirut Medical Center; Beirut, Lebanon.
Full articleClassification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.17 Anesthesia (Part of: 12 Surgical treatment)
