title: Valsalva retinopathy-like hemorrhage associated with combined trabeculotomy-trabeculectomy in a patient with developmental glaucoma.
abstract: 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 5th 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.
authors.affiliation: Jasti V. Ramanamma Children's Eye Care Centre, L. V. Prasad Eye Institute, Hyderabad, India. mandal@lvpeye.stph.net
authors.forename: A K
authors.initials: AK
authors.lastname: Mandal
authors.forename: S
authors.initials: S
authors.lastname: Jalali
authors.forename: V S
authors.initials: VS
authors.lastname: Rao
authors.forename: V K
authors.initials: VK
authors.lastname: Gothwal
authors.forename: A
authors.initials: A
authors.lastname: Karim
mesh_terms: D000768:Anesthesia, General; D000867:Anterior Chamber / Q000473:pathology; D001623:Betamethasone / Q000627:therapeutic use; D002648:Child; D003519:Cyclopentolate / Q000627:therapeutic use; D005901:Glaucoma / Q000151:congenital / Q000601:surgery*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D009184:Mydriatics / Q000627:therapeutic use; D012166:Retinal Hemorrhage / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D014130:Trabeculectomy / Q000009:adverse effects*; D014636:Valsalva Maneuver; D014792:Visual Acuity
chemical_list: D005938:Glucocorticoids; D009184:Mydriatics; D001623:Betamethasone; D003519:Cyclopentolate