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Abstract #6415 Published in IGR 3-2
Valsalva retinopathy-like hemorrhage associated with combined trabeculotomy-trabeculectomy in a patient with developmental glaucoma
Mandal AK; Jalali S; Rao VS; Gothwal VK; Karim AOphthalmic Surgery and Lasers 2001; 32: 330-332
This case describes valsalva retinopathy-like hemorrhage in a patient with developmental glaucoma who underwent primary combined trabeculotomy-trabeculectomy. A 12-year-old boy with developmental glaucoma in both eyes developed shallow anterior chamber following combined trabeculotomy-trabeculectomy in his right eye. He underwent air injection for reformation of the anterior chamber under general anesthesia. Following reformation of the anterior chamber on the fifth postoperative day, examination of the patient revealed valsalva retinopathy-like hemorrhage. The patient was treated with betamethasone and cyclopentolate in the postoperative period, and was followed by complete absorption of the retinal hemorrhages with retention of normal visual acuity. Valsalva retinopathy-like hemorrhage may occur with valsalva maneuver during general anesthesia.
Dr A.K. Mandal, J.V. Ramanamma Children's Eye Centre, L.V. Prasad Eye Institute, L.V. Prasad Marg, Banjara Hills, Hyderabad 500 034, India. mandal@lvpeye.stph.net
Classification:
9.1.1 Congenital glaucoma, Buphthalmos (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)
12.9 Trabeculotomy, goniotomy (Part of: 12 Surgical treatment)
