Valsalva retinopathy occurring after after general anesthesia

##plugins.themes.academic_pro.article.sidebar##

Published Oct 7, 2019
Download
pdf
Vol. 97 No. 4 (2019): Issue Apr 2019

##plugins.themes.academic_pro.article.main##

Mejda Bouladi
Fatma Mghaieth
Rim Bouraoui
Noura Zerei
Nibrass Chaker
Leila El Matri

Abstract

Purpose :
To report a case of patient who presented with valsalva retinopathy after genral anesthesia for the treatment of ruptured intracranial aneurysm.
Observation :
A forty year-old man presented, after a general anesthesia for treatment of a ruptured intracranial aneurysm, with a severe decrease of the visual acuity in the left eye. Ophthalmic examination, performed one month after surgery showed a retrohyaloid macular hemorhage. After failure of laser Nd-YAG hyaloidotomy, vitrectomy allowed drainage of the hematoma with good visual outcome.
Conclusion :
Valsalva retinopathy is a rare complication that can occur after genral anesthesia. Vitrectomy may be needed if Nd-Yag laser hyaloidotomy fails.

Keywords:

Valsalva retinopathy, general anesthesia, intracranial aneurysm

##plugins.themes.academic_pro.article.details##

References

  1. Duane TD. Valsalva Hemorrhagic Retinopathy. Am Journal of Ophthalmol. 1973;75:637-42.
  2. Choi S, Lee S, Rah S. Valsalva retinopathy associated with fiber optic gastro enteroscopy. Can J Ophthalmol.2006;41(4):491-3.
  3. Kim J, Lee D, Lee J, et al. Valsalva retinopathy associated with an oratorical contest. Ko J Ophthalmol. 2009;23:318-20.
  4. Ladjimi A, Zaouali S, Messaoud R, Ben Yahia S, Attia S, Jenzri S, Khairallah M. Valsalva retinopathy indiced by laber. 2002;12(4):336-8.
  5. Patane PS, Krummenacher TK, RAO RC. Valsalva hemorrhagic retinopathy presenting as a rare cause of impaired vision after a general anesthetic _ a case report and review of the literature. J Clinic Anesth 2015;27: 341-6.
  6. Hönemann C, Brandt L. Valsalva retinopathy: a rare complication after general anesthesia. A & A Case Rep. 2015;5(12):231-3.
  7. Iwase T, Ra E, Ito Y, Terasaki H. Multiple sub-internal limiting membrane hemorrhages with double ring sign in eyes with Valsava retinopathy. Retina. 2018;38(1):e1-e2.
  8. Kumar V. Optical coherence tomography changes following vitrectomy for long standing premacular hemorrhage in Valsalva retinopathy. Int J Ophthalmol. 201;10(11):1779-82.
  9. Miriam Garia- Fernandez, Joaquin Castro-Navarro, Carmen Gonzalez castano. Long-term evolution of Valsalva retinopathy : a case series. J Med Cas Rep 2012;6 : 346.
  10. Matonti. F, Donadieu. V, Hoffart. L, Dornadin. A, Nadeu. S, Roux. S, Denis. D. traitement précoce par laser Nd :YAG de la rétinopathie de Valsalva : résultats à propos de cinq cas et revue de la littérature. J fr ophtalmol 2013;36, 604-609.
  11. Nagar A, Dhingra N. Valsalva retinopathy. Postgrad Med J. 2017;93(1097):174.