Valsalva hemorrhagic retinopathy presenting as a rare cause of impaired vision after a general anesthetic—a case report and review of the literature

Abstract Postoperative visual loss from any cause is potentially catastrophic. We present a case of Valsalva hemorrhagic retinopathy (VHR) as a rare cause of impaired vision after an apparently uneventful general anesthetic. Previously published cases of VHR, anesthetic related and otherwise, are re...

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Published in:Journal of clinical anesthesia 2015-06, Vol.27 (4), p.341-346
Main Authors: Patane, Paul S., MD, MBA, Krummenacher, Thomas K., MD, Rao, Rajesh C., MD
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Anesthesia & Perioperative Care
Anesthesia, General - adverse effects
Anesthesia, General - methods
Eyes & eyesight
Female
Foot diseases
Hemorrhage
Humans
Intubation
Laparoscopy
Pain Medicine
Patients
Retinal Hemorrhage - etiology
Surgery
Tomography
Valsalva Maneuver
Ventilation
Vision Disorders - etiology
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cited_by cdi_FETCH-LOGICAL-c554t-1f137df07fa3d47807b38ed53053e8057f010fcbfcf838312d091f00e3c59f253
cites cdi_FETCH-LOGICAL-c554t-1f137df07fa3d47807b38ed53053e8057f010fcbfcf838312d091f00e3c59f253
container_end_page 346
container_issue 4
container_start_page 341
container_title Journal of clinical anesthesia
container_volume 27
creator Patane, Paul S., MD, MBA
Krummenacher, Thomas K., MD
Rao, Rajesh C., MD
description Abstract Postoperative visual loss from any cause is potentially catastrophic. We present a case of Valsalva hemorrhagic retinopathy (VHR) as a rare cause of impaired vision after an apparently uneventful general anesthetic. Previously published cases of VHR, anesthetic related and otherwise, are reviewed and the phenomenon discussed. Although VHR is considered to be rare, the events and activities with which it is associated are relatively common, both in everyday life and in the operating room. We suggest that the occurrence of VHR after anesthesia and surgery may be more frequent than previously appreciated and make recommendations for further investigations.
doi_str_mv 10.1016/j.jclinane.2015.03.013
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We present a case of Valsalva hemorrhagic retinopathy (VHR) as a rare cause of impaired vision after an apparently uneventful general anesthetic. Previously published cases of VHR, anesthetic related and otherwise, are reviewed and the phenomenon discussed. Although VHR is considered to be rare, the events and activities with which it is associated are relatively common, both in everyday life and in the operating room. 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source ScienceDirect Journals
subjects Adult
Anesthesia
Anesthesia & Perioperative Care
Anesthesia, General - adverse effects
Anesthesia, General - methods
Eyes & eyesight
Female
Foot diseases
Hemorrhage
Humans
Intubation
Laparoscopy
Pain Medicine
Patients
Retinal Hemorrhage - etiology
Surgery
Tomography
Valsalva Maneuver
Ventilation
Vision Disorders - etiology
title Valsalva hemorrhagic retinopathy presenting as a rare cause of impaired vision after a general anesthetic—a case report and review of the literature
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