Glycopyrrolate induced bilateral angle closure glaucoma after cervical spine surgery

Mahmoud Jaroudi, Maalouf Fadi, Fadi Farah, Georges M. El Mollayess

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

To report a case of bilateral acute angle closure glaucoma (AACG) that occurred after cervical spine surgery with the use of glycopyrolate. A 59-year-old male who presented with severe bilateral bifrontal headache and eye pain that started 12 h postextubation from a cervical spine surgery. Neostigmine 0.05 mg/kg (4.5 mg) and glycopyrrolate 0.01 mg/kg (0.9 mg) were used as muscle relaxant reversals at the end of the surgery. Ophthalmic examination revealed he had bilateral AACG with plateau iris syndrome that was treated medically along with laser iridotomies.Thorough examination of anterior chamber should be performed preoperatively on all patients undergoing surgeries in the prone position and receiving mydriatic agents under general anesthesia.

Original languageEnglish (US)
Pages (from-to)182-184
Number of pages3
JournalMiddle East African Journal of Ophthalmology
Volume20
Issue number2
DOIs
StatePublished - Apr 2013

Keywords

  • Acute Angle Closure Glaucoma
  • Cervical Spine Surgery
  • Glycopyrrolate

ASJC Scopus subject areas

  • Ophthalmology

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