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Br J Ophthalmol 2003;87:650-651 doi:10.1136/bjo.87.5.650
  • Letter

A case of Boerhaave’s syndrome associated with raised intraocular pressure

  1. S Nabili,
  2. J R Murdoch
  1. North Glasgow University NHS Trust, Glasgow, UK
  1. Correspondence to: Mr Shahriar Nabili, Ophthalmology Department, Gartnavel General Hospital, Great Western Road, Glasgow G12 0YN, UK; nabili{at}hotmail.com
  • Accepted 18 September 2002

We would like to report a fatal case of post-emetic oesophageal perforation (Boerhaave’s syndrome). The condition was attributed to nausea and retching caused by raised intraocular pressure (IOP). We believe the case highlights the importance of early diagnosis and management of such rare cases.

Case report

An 81 year old man presented with a painful right eye. He felt nauseated and was retching. On examination visual acuity was 6/36 pinhole 6/18 right eye and 6/12 pinhole 6/5 left eye. The right eye was mildly inflamed and pseudophakic as a result of recent surgery. Right IOP was 58 mm Hg. The left eye showed no abnormality. Past ocular history included complicated right cataract surgery requiring pars plana vitrectomy and removal of lens fragment 6 weeks …

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