Point-of-care monitoring of perioperative intraocular pressure using portable tonometry in a patient with Posner-Schlossman syndrome: a case report

Korean Journal of Anesthesiology 2014³â 66±Ç 3È£ p.248 ~ p.251

±è¼ºÈÆ(Kim Sung-Hoon) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
(Rhim Jin-Ho) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
¹®¿µÁø(Moon Young-Jin) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
(Yu Ji-Hion) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
¹ÚÁ¾¿¬(Park Jong-Yeon) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
(Ashish Bangaari) - Axon Anaesthesia Associates Global Hospitals Intensive Care and Pain Management Department of Anaesthesia

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