• BMC anesthesiology · Nov 2022

    Case Reports

    Life-threatening hypotension in the immediate postoperative period of cataract surgery under topical anesthesia: a report of two cases.

    • Michele Fostier, Gintare Januleviciute, Fabrice Fauconnier, Edith Collard, and Virginie Dubois.
    • Anesthesiology Department CHU UCL Namur Site Godinne, Av. G. Therasse 1, 5530, Yvoir, Belgium. michele.fostier@chuuclnamur.uclouvain.be.
    • BMC Anesthesiol. 2022 Nov 11; 22 (1): 345345.

    BackgroundCataract surgery is one of the most frequent surgeries in the world. It is a very safe procedure mostly performed under topical anesthesia in outpatients centers. Due to the growing lack of anesthesiologists, cataract surgeries are more frequently performed without an anesthesiologist present in the operating room. Although extremely rare, life-threatening complications may occur.Cases PresentationWe report two cases of cataract surgery complicated by severe hypotension that required emergency resuscitation in the immediate postoperative period and hospitalization in intensive care unit. Anaphylactic shock was confirmed in the first case and suspected in the second.Conclusions And ImportanceEven though cataract surgery is a very safe procedure, it is essential to ensure the presence of an anesthesiologist to manage potential, though extremely rare, life-threatening complications such as anaphylactic reactions.© 2022. The Author(s).

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