Suprachoroidal Hemorrhage During Pars Plana Vitrectomy Associated with Valsalva Maneuver.

Lim, Han Woong; Ko, Byung Woo; Song, Yumi; Lee, Byung Ro

doi:2008.49.6.1022

J Korean Ophthalmol Soc > Volume 49(6); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(6):1022-1027.
DOI: https://doi.org/10.3341/jkos.2008.49.6.1022 Published online June 15, 2008.

Suprachoroidal Hemorrhage During Pars Plana Vitrectomy Associated with Valsalva Maneuver.

Han Woong Lim, Byung Woo Ko, Yumi Song, Byung Ro Lee

Department of Ophthalmology, College of Medicine, Hanyang University, Seoul, Korea. Brlee@hanyang.ac.kr

유리체절제술 중 발생한 발살바현상 관련 맥락막상강출혈

임한웅ㆍ고병우ㆍ송유미ㆍ이병로

Department of Ophthalmology, College of Medicine, Hanyang University, Seoul, Korea

Abstract

PURPOSE
To report a suprachoroidal hemorrhage by Valsalva maneuver during vitrectomy under general anesthesia. CASE SUMMARY: A healthy 26-year-old man had vitrectomy under general anesthesia due to rhegmatogenous retinal detachment in his right eye. During scleral indentation and endolaser photocoagulation, he took a sudden and severe bucking reflex because the effect of general anesthesia was insufficient. After the bucking reflex, suprachoroidal hemorrhage occurred in his right eye. Immediate IOP elevation and hyperfluorocarbon tamponade was performed to remove the suprachoroidal hemorrhage and reattach the retina and choroid. The patient's corrected visual acuity was 20/50 and slender crescent shaped choroidal rupture remained around the temporal area of the macula, unlike traumatic choroidal rupture. Following fluorescein angiography, staining was evident at the choroidal rupture site; no fluorescein leakage was evident. CONCLUSIONS: We report a case of acute suprachoroidal hemorrhage which we investigated by fundus examination and fluorescein angiography.

Key Words: Suprachoroidal hemorrhage;Valsalva maneuver;Vitrectomy