Corneal perforation (LE), secondary to Exposure Keratopathy, was a postanesthetic complication of cardiac surgery, in a diabetic patient with renal insufficiency and high myopia.
VA 3L 20/70 through ectopic pupil performed with Yag laser. The corneal hole was closed with scleral rectangular fragment (free) at the corneal endothelial surface, incarcerated in limbus. The anterior chamber was tamponated with C3F8 gas.
Colour retinography
A male patient complained of sudden loss of vision at the left eye after Valsalva maneuver – subretinal hemorrhage at macular area. Diabetic with renal insufficiency and hight myopia. BCVA: 6/10 LE. It is the patient only eye.
Patients with ocular pathologies (acquired retinal vascular abnormalities, congenital retinal vascular disease, moderate and high myopia) are at increased risk for Valsalva retinopathy.
Fundus photograph 2 months after presentation, showing total reabsorption of hemorrhage. BCVA: 20/30.
Anterior Segment Photo
VA 20/300 through ectopic pupil, seven months after surgery. The corneal hole was closed with free scleral rectangular fragment at the corneal endothelial surface, incarcerated in limbus, and the anterior chamber was tamponated with C3F8 gas . Silicone bubble in the anterior chamber.

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