유리체절제술 중 발생한 발살바현상 관련 맥락막상강출혈

• 영문명: Suprachoroidal Hemorrhage During Pars Plana Vitrectomy Associated with Valsalva Maneuver
• 발행기관: 대한안과학회
• 저자명: 임한웅 고병우 송유미 이병로,Han Woong Lim, M.D., Byung Woo Ko, M.D., Yumi Song, M.D., Byung Ro Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number6, 1022~1027쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.06.15

영문 초록

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. J Korean Ophthalmol Soc 49(6):1022-1027, 2008

키워드

Suprachoroidal hemorrhage, Valsalva maneuver, Vitrectomy