Suddenly fixed upward ocular deviation under general anesthesia
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Various changes in ocular position are possible during general anesthesia as opposed to the awakening state. However, unexpected ocular deviation under general anesthesia is a disconcerting event as it can lead to difficult complications intraoperatively. To date, sudden fixed upward ocular deviation has been rarely reported previously. This phenomenon was observed in an 8-year-old boy during strabismus surgery. Suddenly fixed upward ocular deviation occurred when the speculum was inserted into the right eye. When the eyeball was pulled down, using forceps, there was some resistance, such as contracture of superior rectus. The eyeball sprang back into the upward position when the forceps was released. These changes could hamper the good exposition of the surgical field, leading to significant intraoperative difficulties and complications. Surgeons should be aware of this possibility, despite general anesthesia; if it occurs, proceed with the surgery as planned preoperatively, and both ophthalmic and anesthetic interventions should be used to solve this problem
Abstract
Various changes in ocular position are possible during general anesthesia as opposed to the awakening state. However, unexpected ocular deviation under general anesthesia is a disconcerting event as it can lead to difficult complications intraoperatively. To date, sudden fixed upward ocular deviation has been rarely reported previously. This phenomenon was observed in an 8-year-old boy during strabismus surgery. Suddenly fixed upward ocular deviation occurred when the speculum was inserted into the right eye. When the eyeball was pulled down, using forceps, there was some resistance, such as contracture of superior rectus. The eyeball sprang back into the upward position when the forceps was released. These changes could hamper the good exposition of the surgical field, leading to significant intraoperative difficulties and complications. Surgeons should be aware of this possibility, despite general anesthesia; if it occurs, proceed with the surgery as planned preoperatively, and both ophthalmic and anesthetic interventions should be used to solve this problem
참고문헌 (7)
- Ohmi E, "Eye position and electromyographic observation of squint eyes under general anesthesia", Ophthalmologica, 178, pp.166~171 (1979)
- Apt L, "Eye position of strabismus patients under general anesthesia", Am J Ophthalmol, 84, pp.574~579 (1977)
- Daien V, "Determinants of ocular deviation in esotropic subjects under general anesthesia", J Pediatr Ophthalmol Strabismus, 50, pp.155~160 (2013)
- Mims JL, "'Double elevator palsy' eye supraducts during stage II general anesthesia supporting hypothesis of (supra) nuclear etiology", Binocul Vis Strabismus Q, 20, pp.199~204 (2005)
- Rossiter JD, "Operating conditions for ocular surgery under general anaesthesia: an eccentric problem", Eye (Lond), 20, pp.55~58 (2006)
- Wright KW, "Pediatric ophthalmology and strabismus", pp.317~320 (2012), Oxford University Press
- Ortega A, "Cost analysis of neuromuscular blocking agents in the operating room: cisatracurium, atracurium, vecuronium and rocuronium", Pharm World Sci, 22, pp.82~87 (2000)