Atlas of Ophthalmology

Valsalva Retinopathy in a Young Male after Sneezing

Valsalva Retinopathy in a Young Male after Sneezing
A 32-year-old male with no significant past medical history presented with unilateral sudden visual loss few seconds after sneezing. His visual acuity (VA) at first examination was 0.05. Slit-lamp biomicroscopy was normal. A huge premacular haemorrhage was observed during a fundus examination. After two weeks of clinical observation no significant changes were observed. We first tried Nd:YAG laser treatment but it was not succesful. Therefore a 25-G central vitrectomy was perfomed with a complete recovery of VA. Valsalva retinopathy is a preretinal hemorrhage caused by a sudden increase in intrathoracic or intraabdominal pressure against a closed glottis which cause a rupture of small capillaries with extravasation of blood below the internal limiting membrane or vitreous/subhyaloid space. Usually occurs in healthy eyes and spontaneously resolves but sometimes it may need some others treatments like Nd:YAG laser or vitrectomy
Cisneros Arias, Pablo, M.D., Hospital Clinico Universitario Lozano Blesa, Zaragoza, Spain; Bakkali El Bakkali, Ismael, M.D., Hospital Clinico Universitario Lozano Blesa, Zaragoza, Spain; Nuñez Moscarda, Eva, M.D., Hospital Clinico Universitario Lozano Blesa, Zaragoza, Spain; Honrrubia Grijalvo, Ana, M.D., Hospital Clinico Universitario Lozano Blesa, Zaragoza, Spain; Ascaso Puyuelo, Javier, Prof. Dr. med., Hospital Clinico Universitario Lozano Blesa, Zaragoza, Spain
H43
Сетчатка -> Приобретенные Макулярные Заболевания
VALSALVA RETINOPATHY SUBHYALOID BLEEDING
11043
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