Case 10: Postoperative Painful Eye

  • John G. Brock-Utne


A 50-year-old female (ASA 1) is scheduled for laparoscopic cholecystectomy. Her past history is noncontributory. She takes no medication and has no allergies. The patient is otherwise healthy and has no complaints. She has removed her glasses and states that she does not use any contact lenses. You are joined by a medical student who put all the monitors on the patient including the oxygen saturation monitor on her right index finger. The patient is induced and the medical student ventilates the patient by mask. He places an endotracheal tube in the trachea successfully. The anesthetic proceeds uneventfully, and she wakes up pain-free and is taken to the recovery room in a stable condition.


General anesthesia Painful eye Face mask Ventilation Recovery room Corneal abrasion Fluorescein dye Pulse oximeter probe 


  1. 1.
    White E, Crosse MM. The aetiology and prevention of peri-operative corneal abrasions. Anaesthesia. 1998;53:157–61.CrossRefPubMedGoogle Scholar
  2. 2.
    Malafa MM, Coleman JE, Bowman RW, Rohrich RJ. Perioperative corneal abrasion: updated guidelines for prevention and management. Plast Reconstr Surg. 2016;137(5):790e–8e.CrossRefPubMedGoogle Scholar
  3. 3.
    Segal KL, Fleischut PM, Kim C, Levine B, et al. Evaluation and treatment of perioperative corneal abrasions. J Ophthalmol. 2014;2014:901901.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Orr DL, Park JH. Another eye-protection option. Anesth Analg. 2011;112:739–40.CrossRefPubMedGoogle Scholar
  5. 5.
    Brock-Utne JG, Botz G, Jaffe RA. Perioperative corneal abrasions. Anesthesiology. 1992;77:221.CrossRefPubMedGoogle Scholar
  6. 6.
    Brock-Utne JG. The aetiology and prevention of peri-operative corneal abrasion. Anaesthesia. 1998;53:829.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • John G. Brock-Utne
    • 1
  1. 1.Department of AnesthesiaStanford UniversityStanfordUSA

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