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
  • 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.

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.

Keyword

Anesthesia; Intraocular pressure; Monitoring; Posner-Schlossman syndrome; Tonometry

MeSH Terms

Anesthesia
Anesthesia, General
Humans
Intraocular Pressure*
Manometry*
Middle Aged
Monitoring, Intraoperative
Rotator Cuff
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