Korean Journal of Anesthesiology (Mar 2014)

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

  • Sung-Hoon Kim,
  • Jin-Ho Rhim,
  • Young-Jin Moon,
  • Jihion Yu,
  • Jong-Yeon Park,
  • Ashish Bangaari

DOI
https://doi.org/10.4097/kjae.2014.66.3.248
Journal volume & issue
Vol. 66, no. 3
pp. 248 – 251

Abstract

Read online

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.

Keywords