학술논문
전신마취하 유방 양성 종양 수술 후 발생한 양안 급성폐쇄각발작
이용수 0
- 영문명
- Bilateral Acute Angle Closure Crisis after General Anesthesia for a Breast Surgery
- 발행기관
- 대한검안학회
- 저자명
- 김범준(Bum Jun Kim) 조현경(Hyun-kyung Cho) 강태신(Tae-Seen Kang) 김지혜(Ji Hye Kim) 남기엽(Ki Yup Nam) 한용섭(Yong Seop Han) 유지명(Ji Myong Yoo)
- 간행물 정보
- 『Annals of optometry and contact lens』Vol.19 No.2, 48~53쪽, 전체 6쪽
- 주제분류
- 의약학 > 기타의약학
- 파일형태
- 발행일자
- 2020.06.30
4,000원
구매일시로부터 72시간 이내에 다운로드 가능합니다.
이 학술논문 정보는 (주)교보문고와 각 발행기관 사이에 저작물 이용 계약이 체결된 것으로, 교보문고를 통해 제공되고 있습니다.
국문 초록
영문 초록
Purpose: To report a case of bilateral acute angle closure crisis after general anesthesia for a benign neoplasm of the breast surgery.
Case summary: A 60-year-old female complained of bilateral ocular pain and visual disturbance after recovering from general anesthesia for wide excision of the left breast operation. Visual acuity was finger count and intraocular pressure (IOP) was measured as 50 mmHg in the right eye and 60 mmHg in the left eye. Slit lamp exam revealed cornea edema, conjunctival injection, and shallow central anterior chamber and narrow peripheral angle in both eyes. Acute angle closure crisis due to anesthetic agent was suspected. The symptoms improved after she was prescribed hypotensive eye drops, acetazolamide, and Osmotic diuretic medication. The next day of the surgery, IOP decreased to 10/10 mmHg and anterior chamber depth was 1.94 mm in the right eye and 1.88 mm in the left eye. Cup to radio was 0.6/0.7 in fundus photography and superotemporal and inferotemporal retinal nerve fiber layer defect was observed in the left eye using optical coherence tomography.
Conclusions: It may be necessary to examine the patient for primary angle closure (PAC) and inspect the history of PAC even before non-ocular surgery, especially in patients with risk factors such as old age and female. Careful monitoring is required during the recovery of general anesthesia for ocular symptoms considering the possibility of bilateral acute angle closure crisis.
목차
증 례
고 찰
REFERENCES
해당간행물 수록 논문
참고문헌
교보eBook 첫 방문을 환영 합니다!
신규가입 혜택 지급이 완료 되었습니다.
바로 사용 가능한 교보e캐시 1,000원 (유효기간 7일)
지금 바로 교보eBook의 다양한 콘텐츠를 이용해 보세요!