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March 1993

Bilateral Ciliochoroidal Detachments After Valsalva Maneuver

Author Affiliations

Miami, Fla

Arch Ophthalmol. 1993;111(3):304. doi:10.1001/archopht.1993.01090030022014

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We had the opportunity to examine a woman with bilateral ciliochoroidal detachments.

Report of a Case.  —A 63-year-old white woman presented 3 days after several severe and prolonged episodes of emesis from a presumed viral gastroenteritis. She complained of a droplet-shaped scotoma in the right eye and blurred vision in both eyes. Her ocular history was significant for cataract surgery with intraocular implant in her right eye in 1985 and in her left eye in 1986.Best-corrected visual acuity was 20/25 OD and 20/20 OS. Results of slit-lamp examination revealed well-centered posterior chamber implants. Applanation pressures were 15 mm Hg OU. Results of fundus examination of the right eye were remarkable for a dome-shaped orange-brown choroidal elevation in the inferonasal quadrant (Fig 1) associated with a low-lying inferior and nasal choroidal detachment. The disc, macula, and vessels were otherwise normal. Results of examination of the periphery of the left eye

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