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Case Reports
Retrograde Flow of Fluid Through the Nasolacrimal Duct System Under General Anesthesia: A Case Report.
- Taizoon Q Dhoon, Isaac Lam, Claire Kwan, Jennifer Huang, Jon McIntyre, and Mitul Mehta.
- From the Departments of Anesthesiology & Perioperative Care.
- A A Pract. 2024 Mar 1; 18 (3): e01763e01763.
AbstractThis case report describes a rare incident of fluid exhibiting retrograde flow from the nasopharynx through the nasolacrimal duct and accumulating within the eye guard while under general anesthesia. The patient was in a steep Trendelenburg position for several hours and received multiple liters of intravenous fluid. The patient did not have a history of sinusitis, sinus surgery, cocaine use, dacryostenosis and dacryocystitis, or nasolacrimal duct irrigation and probing. This case provides insight into the potential ophthalmic implications of surgical and anesthetic management. While the patient fortunately had no complications, this case also underscores the importance of intraoperative vigilance.Copyright © 2024 International Anesthesia Research Society.
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