Article

General anesthesia for patient with homocystinuria--a case report.

Department of Anesthesiology, Taipei Veterans General Hospital and National Yung-Ming University School of Medicine, Taiwan, R.O.C.
Acta anaesthesiologica Sinica 10/2002; 40(3):153-6. pp.153-6
Source: PubMed

ABSTRACT Homocystinuria is an autosomal recessive disease with multiple systemic disorders. Here we report a 15-year-old lad suffering from homocystinuria who required an ocular surgery including lentectomy and implant of plastic lens, OS and anterior retinal cryotherapy, OD under general anesthesia because of lens subluxation and lattice degeneration. It is the elective ocular procedure most commonly performed for homocystinuric children. Proper precautions should be taken during anesthetic management since this condition inspires some particular anesthetic complications that could be prevented by careful consideration and understanding of its pathophysiology. Providentially our patient stood the operation well and was discharged without subsequent thromboembolism or other complication as an aftermath.

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Keywords

15-year-old lad
 
aftermath
 
anterior retinal cryotherapy
 
autosomal recessive disease
 
careful consideration
 
condition inspires
 
elective ocular procedure
 
general anesthesia
 
Homocystinuria
 
lattice degeneration
 
lens subluxation
 
lentectomy
 
plastic lens
 
Proper precautions