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Orbital Hemorrhage in the Nonoperated Eye as a Complication of General Endotracheal Anesthesia
Arch Ophthalmol. 1998;116:105-106.
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We report an unusual complication of general endotracheal anesthesia. A healthy 74-year-old woman suffered a subperiosteal hemorrhage in the superior right orbit after general endotracheal anesthesia for a combined phacoemulsification, intraocular lens implantation, and trabeculectomy in the left eye. Vision was uncompromised and the hematoma resolved without surgical intervention.We conclude that recovery from general endotracheal anesthesia is capable of raising intravascular pressures and may have led to hemorrhage within a presumed normal orbit in our patient. Consideration must be given to this potential complication in patients with lesions that may predispose to intraorbital hemorrhage.
Report of a Case
A 74-year-old healthy woman underwent left phacoemulsification, posterior chamber intraocular lens implantation, and trabeculectomy. She had been experiencing frequent painful spasms from postherpetic neuralgia and was concerned about move-ment during the procedure. General endotracheal anesthesia was therefore provided at her request.
During the procedure, erythromycin ophthalmic ointment was placed in the right eye and the eye . . . [Full Text of this Article]
Comment
Corresponding author: Kerry E. Hunt, MD, National Naval Medical Center, 8901 Wisconsin Ave, Bethesda, MD 20889.
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