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Choroidal Effusion Following Continuous Positive Airway Pressure Treatment

Pornchai Simaroj MD*, Pisit Preechawat MD*

Affiliation : * Department of Ophthalmology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

A 46-year-old man was diagnosed with obstructive sleep apnea and began using a nasal continuous positive airway pressure (CPAP) during sleep for a month. He presented with the complaint of a painful blurred vision in his left eye upon awakening two days earlier. His visual acuity was 20/25 both eyes. There was a mild anterior chamber reaction in the left eye. Fundus examination showed a localized choroidal effusion at the inferotemporal part of the left retina. The patient received topical 0.1% dexamethasone four times daily and temporarily discontinued the CPAP. By one week after treatment, the choroidal effusion was completely resolved.

Keywords : Choroid diseases, Complications, Continuous positive airway pressure, Sleep apnea obstructive


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