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An unusual cause of post-operative orbital edema in a child after general anesthesia
Journal article   Open access   Peer reviewed

An unusual cause of post-operative orbital edema in a child after general anesthesia

Joseph D. Tobias, Narasimhan Jagannathan, Amod Sawardekar and Tarun Bhalla
Saudi Journal of Anaesthesia, Vol.5(1)
2011

Abstract

bupivacaine dexamethasone diphenhydramine nitrous oxide sevoflurane anesthesia induction article case report caudal anesthesia child clinical feature erythema general anesthesia human hydrocelectomy laryngeal mask orbit edema postoperative complication postoperative period preschool child priority journal surgical technique
We present an unusual ocular complication during the perioperative period, bilateral orbital edema in an otherwise healthy child after an outpatient surgical procedure. Ocular complications under general anesthesia remain a rare event. When periorbital edema is present, the appropriate work-up includes ruling out the potential for an allergic event by reviewing the medications administered and serum tryptase testing. Ophthalmology consultation should be considered to exclude pathology native to the eye itself. An allergist may assist in confirming a diagnosis and for allergic testing, if indicated. In our patient, the eventual diagnosis of exclusion was that of a localized reaction to the cellophane-based eye tape.
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https://doi.org/10.4103/1658-354X.76500View
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