J Korean Ophthalmol Soc.  2019 Sep;60(9):892-895. 10.3341/jkos.2019.60.9.892.

Choroidal Effusion after Consecutive General Anesthesia

Affiliations
  • 1Department of Ophthalmology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea. jeetaek-kim@hanmail.net

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.

Keyword

Choroidal effusion; General anesthesia; Valsalva maneuver

MeSH Terms

Adult
Anesthesia, General*
Choroid*
Diabetic Retinopathy
Hematuria
Humans
Light Coagulation
Ultrasonography
Urinary Bladder Neoplasms
Urology
Valsalva Maneuver
Vitrectomy
Vitreous Hemorrhage
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