The Anesthetic Implications of Aqueous Drainage Devices and Glaucoma: A Report of a Patient Undergoing Urgent Prone Cervical Decompression and Fusion

被引:0
作者
Blackney, Kevin A. [1 ]
Zavodni, Zachary J. [2 ,3 ]
Saddawi-Konefka, Daniel [4 ]
机构
[1] Stanford Univ, Med Ctr, Dept Anesthesiol Perioperat & Pain Med, Stanford, CA 94305 USA
[2] Eye Inst Utah, Salt Lake City, UT USA
[3] Univ Utah, John A Moran Eye Ctr, Salt Lake City, UT USA
[4] Massachusetts Gen Hosp, Dept Anesthesia Crit Care & Pain Med, Boston, MA 02114 USA
关键词
D O I
10.1213/XAA.0000000000000346
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The pathophysiology of glaucoma and perioperative visual loss is similar. A patient with glaucoma may be at increased risk of perioperative visual loss. For both, goals of management include optimizing ocular perfusion pressure and oxygen delivery. One treatment for refractory glaucoma is an aqueous drainage device; however, there is no published literature on the anesthetic management of patients with these devices. We present the case of a patient with recalcitrant glaucoma treated with an Ahmed Glaucoma Valve who underwent urgent prone surgery. Anesthetic implications of aqueous drainage devices and glaucoma are discussed, and recommendations are made.
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页码:63 / 66
页数:4
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