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  2. Vol 55, No 2 (2023)
  3. Supriono

Rare Case: Unilateral Acute Primary Angle-closure Glaucoma After Colonoscopy in Malang, East Java, Indonesia

Supriono Supriono, Amalia Nurul Hatinah, Mochamad Fachrureza, Syifa Mustika, Bogi Pratomo Wibowo

Abstract


Glaucoma is a heterogeneous group of optic neuropathies characterized by a progressive loss of retinal ganglion cells (RGCs) with corresponding visual field defects, and one of the main risk factors is elevated intraocular pressure (IOP). Furthermore, colonoscopy procedures require insufflation of the colon lumen with gases which can increase intraabdominal pressure (IAP) and ends with an elevation of IOP. Glaucoma is an infrequent complication due to colonoscopy; in this case, a 63 years-old woman was diagnosed with glaucoma after a colonoscopy procedure. A few hours after the colonoscopy, the patient suffered blurred vision in the left eye, and the physical examination revealed mixed conjunctival and ciliary injection with visual acuity of 1/300. There was an increase in IOP with a value of 40,2 mmHg on Schiotz tonometry. This case presented the pitfalls of the procedure and the importance of taking glaucoma awareness before a colonoscopy. 


Keywords


colonoscopy; glaucoma; intraabdominal pressure; intraocular pressure

References


Lee SSY, Mackey DA. Glaucoma–risk factors and current challenges in the diagnosis of a leading cause of visual impairment. Maturitas. 2022.

Kent I, Geffen N, Stein A, Rudnicki Y, Friehmann A, Avital S. The effect of colonoscopy on intraocular pressure: an observational prospective study. Graefe’s Archive for Clinical and Experimental Ophthalmology. 2020;258:607–11.

Yoo YC, Shin S, Choi EK, Kim CY, Choi YD, Bai SJ. Increase in intraocular pressure is less with propofol than with sevoflurane during laparoscopic surgery in the steep Trendelenburg position. Canadian Journal of Anesthesia. 2014;61(4):322.

Ece I, Vatansev C, Kucukkartallar T, Tekin A, Kartal A, Okka M. The increase of intra-abdominal pressure can affect intraocular pressure. BioMed Research International. 2015;2015.

Advanced Glaucoma Intervention Study (AGIS): 7. The relationship between control of intraocular pressure and visual field deterioration. The AGIS Investigators. Am J Ophthalmol. 2000;130(4):429–40.

Drance S, Anderson DR, Schulzer M, Collaborative Normal-Tension Glaucoma Study Group. Risk factors for progression of visual field abnormalities in normal-tension glaucoma. American Journal of Ophthalmology. 2001;131(6):699–708.

Bayraktaroglu M, Kurtay A, Horasanli E. Comparison of two sedation protocols on intraocular pressure and hemodynamic responses during colonoscopy. Eur Rev Med Pharmacol Sci. 2022;26(12):4295–302.

Quigley HA. Glaukoma. The Lancet. 2011;2011(377):1367–77.

Sun X, Dai Y, Chen Y, et al. Primary angle closure glaucoma: what we know and what we don’t know. Progress in Retinal and Eye Research. 2017;57:26–45.

Tham YC, Li X, Wong TY, Quigley HA, Aung T, Cheng CY. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology. 2014;121(11):2081–90.

Kemenkes R. Situasi dan analisis glaukoma. Jakarta Selatan: Pusat Data dan Informasi; 2015.

Wetarini K, Dewi NMRP, Mahayani NMW. Acute angle closure glaucoma: management in acute attack setting. Bali Medical Journal. 2020;9(1):386–9.

Depauw PR, Groen RJ, Van Loon J, Peul WC, Malbrain ML, De Waele JJ. The significance of intra-abdominal pressure in neurosurgery and neurological diseases: a narrative review and a conceptual proposal. Acta Neurochirurgica. 2019;161:855–64.

Ficarrotta KR, Passaglia CL. Intracranial pressure modulates aqueous humour dynamics of the eye. The Journal of Physiology. 2020;598(2):403–13.

Adisa AO, Onakpoya OH, Adenekan AT, Awe OO. Intraocular pressure changes with positioning during laparoscopy. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2016;20(4).

Yamada MH, Takazawa T, Iriuchijima N, Horiuchi T, Saito S. Changes in intraocular pressure during surgery in the lateral decubitus position under sevoflurane and propofol anesthesia. Journal of Clinical Monitoring and Computing. 2016;30:869–74.

Park J, Joo J, Kwon SG, Jang Y, Hyeon T. Synthesis of monodisperse spherical nanocrystals. Angewandte Chemie International Edition. 2007;46(25):4630–60.


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