J Korean Ophthalmol Soc > Volume 60(9); 2019 > Article
Journal of the Korean Ophthalmological Society 2019;60(9):892-895.
DOI: https://doi.org/10.3341/jkos.2019.60.9.892    Published online September 15, 2019.
Choroidal Effusion after Consecutive General Anesthesia.
Na Ri Park, Jee Taek Kim
Department of Ophthalmology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. jeetaek-kim@hanmail.net
연속적인 전신마취 후에 발생한 맥락막박리
박나리 · 김지택
중앙대학교 의과대학 중앙대학교병원 안과학교실
Correspondence:  Jee Taek Kim,
Email: jeetaek-kim@hanmail.net
Received: 27 December 2018   • Revised: 13 February 2019   • Accepted: 16 August 2019
Abstract
PURPOSE
To report a case of extensive choroidal effusion following the Valsalva maneuver under consecutive general anesthesia. CASE SUMMARY: A 41-year-old man who underwent panretinal photocoagulation with proliferative diabetic retinopathy had pars plana vitrectomy and endolaser photocoagulation under general anesthesia due to vitreous hemorrhage. Urology cooperated as the patient had hematuria; the day after the operation, he was transferred to the urology department. Two days after vitrectomy, the patient had an urgent transurethral bladder tumor resection under general anesthesia with suspicion of bladder tumor. At 6 days postoperatively, extensive choroidal effusion was observed from 8 to 10 o'clock on fundus examination and ultrasonography. On day 23 after urological surgery, the choroidal effusion had disappeared without treatment. CONCLUSIONS: Consecutive general anesthesia requires caution, as it is not only burdensome to the body as a whole but may also cause choroidal effusion in the eye.
Key Words: Choroidal effusion;General anesthesia;Valsalva maneuver


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