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Caesarean section following a recent retinal haemorrhage
K E Chidley1, R Law, R G Vanner
1Department of Anaesthetics, Gloucestershire Royal Hospital, UK.
Anaesthesia
|July 11, 1998
Summary
A pregnant woman experienced sudden blindness due to Valsalva-induced retinal hemorrhage near term. Delivery via Cesarean section under epidural anesthesia was successful, with anesthetic technique
Area of Science:
- Ophthalmology
- Obstetrics
- Anesthesiology
Background:
- Retinal hemorrhage during pregnancy is uncommon.
- Valsalva maneuver can increase intraocular pressure.
Observation:
- A 32-year-old woman at 38 weeks gestation presented with unilateral blindness.
- The blindness was attributed to a Valsalva-induced retinal hemorrhage.
Findings:
- Delivery was managed via elective Cesarean section under epidural anesthesia.
- The case highlights a rare complication of pregnancy.
Implications:
- This case underscores the importance of considering Valsalva-induced retinal hemorrhage in pregnant patients presenting with visual disturbances.
- The choice of anesthetic technique may be relevant in managing such cases.