RESUMEN
An 84-year-old woman developed high intraocular pressure with a shallow anterior chamber 2 months after an extracapsular cataract extraction with posterior chamber lens implant. The condition did not respond to peripheral iridectomy and removal of the implant but was treated successfully with YAG laser capsulotomy and anterior hyaloidotomy.
Asunto(s)
Extracción de Catarata/efectos adversos , Glaucoma/etiología , Glaucoma/cirugía , Terapia por Láser , Cuerpo Vítreo/cirugía , Anciano , Anciano de 80 o más Años , Femenino , HumanosAsunto(s)
Anestesia Endotraqueal , Presión Intraocular/efectos de los fármacos , Pancuronio , Compuestos de Piridinio , Adolescente , Adulto , Anciano , Femenino , Hemodinámica/efectos de los fármacos , Humanos , Masculino , Persona de Mediana Edad , Pancuronio/farmacología , Compuestos de Piridinio/farmacologíaRESUMEN
Intraocular pressure was measured in twenty-four patients using an applanation tonometer, after using thiopentone and fazadinium as induction agents. No significant rise in intraocular pressure above resting levels was noted before or after tracheal intubation, and it is suggested that this combination of induction agents should be satisfactory for general anaesthesia of a patient with a perforating eye injury who presents with a full stomach.
Asunto(s)
Presión Intraocular/efectos de los fármacos , Compuestos de Piridinio/farmacología , Tiopental/farmacología , Adolescente , Adulto , Anciano , Anestesia General , Niño , Femenino , Humanos , Intubación Intratraqueal , Cinética , Masculino , Persona de Mediana EdadRESUMEN
One hundred and five cases of airgun pellet injuries of the eye have been analysed. The average age was 14 and the male to female ratio 7.5:1. Forty-five patients had final visual acuities of 6/18 or less in the injured eye and 19 of these had the eye removed. The two main causes for poor vision were retinal damage and cataract. One patient became completely blind after sympathetic ophthalmitis arising 11 years after the injury. The pellet lodged in the orbit in 14 cases and three of these, together with one who had an intraethmoidal pellet, were investigated for abnormal lead levels in blood and urine. The results were normal.The circumstances of the injury were obtained in 12 cases and most involved careless handling of a gun. Instruction of children and parents in schools and on television, rather than stricter legislation, is suggested as a means of prevention.
