与纤维光学胃肠镜检查相关的瓦尔萨尔瓦视网膜病变。
Valsalva retinopathy associated with fiberoptic gastroenteroscopy.
作者信息
Choi Sung-won, Lee Seok-joon, Rah Sang-hoon
机构信息
Department of Opthalmology, Wonju Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju-city, Kangwon-do, Korea.
出版信息
Can J Ophthalmol. 2006 Aug;41(4):491-3. doi: 10.1016/S0008-4182(06)80013-X.
CASE REPORT
A 45-year-old woman presented with a sudden loss of vision in her left eye, which occurred while she was having a routine upper fiberoptic gastroenteroscopy. According to the gastrointestinal specialist, the patient had performed multiple sustained Valsalva maneuvers during the procedure. Funduscopy showed a preretinal hemorrhage with a half disc diameter in the fovea of the left eye.
COMMENTS
A diagnosis of Valsalva retinopathy was made on the basis of history and fundus finding. The hemorrhage resolved within 2 months without any sequelae. To our knowledge, this is the first report of the occurrence of Valsalva retinopathy following a routine upper fiberoptic gastroenteroscopy.
病例报告
一名45岁女性在进行常规上消化道纤维胃镜检查时突然出现左眼视力丧失。据胃肠专科医生称，患者在检查过程中多次进行持续性瓦尔萨尔瓦动作。眼底检查显示左眼黄斑区有一个半视盘直径大小的视网膜前出血。
评论
根据病史和眼底检查结果诊断为瓦尔萨尔瓦视网膜病变。出血在2个月内消退，无任何后遗症。据我们所知，这是首例常规上消化道纤维胃镜检查后发生瓦尔萨尔瓦视网膜病变的报告。
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