Valsalva retinopathy following esophagogastroduodenoscopy under propofol sedation: A case report

Title
Valsalva retinopathy following esophagogastroduodenoscopy under propofol sedation: A case report
Author(s)
장우혁박주홍[박주홍]사공민
Keywords
NATIONWIDE SURVEY; ENDOSCOPIC PROCEDURES; COLONOSCOPY; REFLEX
Issue Date
201403
Publisher
BAISHIDENG PUBL GRP CO LTD
Citation
WORLD JOURNAL OF GASTROENTEROLOGY, v.20, no.11, pp.3056 - 3058
Abstract
We report a case of Valsalva retinopathy associated with esophagogastroduodenoscopy (EGD) under propofol sedation. A 43-year-old woman who had no previous history of systemic or ocular disease presented with a complaint of decreased vision in her left eye, which developed one day after EGD under propofol sedation. According to the referring physician, the patient had experienced multiple sustained Valsalva maneuvers during EGD. The fundus examination of the left eye showed a large preretinal hemorrhage surrounded by multiple small retinal hemorrhages in the posterior pole. One month later, fundus examination revealed a floating organized vitreous hemorrhage. The pars plana vitrectomy was performed to treat persistent vitreous hemorrhage. One month after vitrectomy, fundus examination showed normal retina and the patient's vision recovered to 20/20. Valsalva maneuver can occur during EGD under sedation, and Valsalva retinopathy should be considered as a possible cause. Valsalva retinopathy should be included in the differential diagnosis when a patient complains of blurred vision following EGD. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.
URI
http://hdl.handle.net/YU.REPOSITORY/32981http://dx.doi.org/10.3748/wjg.v20.i11.3056
ISSN
1007-9327
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의과대학 > 안과학교실 > Articles
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