SUPRACHOROIDAL HAEMORRHAGE CAUSED BY VALSALVA MANEUVER DURING VITRECTOMY A CASE REPORT

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Published Mar 5, 2025
DOI: https://doi.org/10.35479/ijretina.2025.vol008.iss001.311

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Nur Ainun Rahma
SMEC Medan
Sindy Br Sembiring
SMEC Medan
Andrea Radotma Silitonga
SMEC Medan
Christina YY Bangun
SMEC Medan

Abstract

Introduction: Suprachoroidal hemorrhage is a rare but significant complication that can occur during intraocular surgery due to valsalva maneuver while patient awake. A rapid blood accumulation in the suprachoroidal space due to increased tension such as valsalva manuever can caused by rupture of the posterior ciliary arteries or vortex veins.


Case report : A 43-year-old man with drop IOL following eventful cataract surgery underwent vitrectomy, IOL explantation and iris claw IOL implantation under general anesthesia. After core vitrectomy and IOL explantation the patient suddenly awake. Iris claw IOL implantation was proceed. At the end of surgery massive suprachoroidal hemorrhage was found. One day postoperative the visual acuity was hand movement. Suprachoroidal and vitreous hemorrhage were observed. Oral and topical steroid were administered. Three months post operative the visual acuity 20/50 and residual suprachoroidal hemorrhage was observed.


Discussion: Suprachoroidal Hemorrhage incidence during intraoperative is not known because it occurs very rarely. Our case highlights the Valsalva maneuver event during vitrectomy which cause sudden suprachoroidal hemorrhage.


Conclusions: Valsava maneuver during vitrectomy could cause a devastating complication such as suprachoroidal hemorrhage.  Although it is one of the reversible complications of anesthesia awareness during vitrectomy, it can be resulted severe visual impairment.

Keywords

Suprachoroidal Hemorrhage, Vitrectomy, Valsalva maneuver, General Anaesthesia

Article Details

How to Cite
RAHMA, Nur Ainun et al. SUPRACHOROIDAL HAEMORRHAGE CAUSED BY VALSALVA MANEUVER DURING VITRECTOMY. International Journal of Retina, [S.l.], v. 8, n. 1, p. 65, mar. 2025. ISSN 2614-8536. Available at: <https://www.ijretina.com/index.php/ijretina/article/view/311>. Date accessed: 28 mar. 2025. doi: https://doi.org/10.35479/ijretina.2025.vol008.iss001.311.
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Issue
Vol 8 No 1 (2025): International Journal of Retina (IJRetina) - INAVRS
Section
Case Report
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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