Blog - Valsalva Retinopathy

Case of the day

38 year old healthy female patient with no systemic factors, diagnosed as left eye Valsalva Retinopathy with pre retinal hemorrhage at macula. Nd Yag Laser Hyaloidotomy was done

VISION -COUNTING FINGERS 2MTS PRE RETINAL HEMORRHAGE
10MINUTES POST YAG LASER HYALOIDOTOMY
10 DAYS POST LASER VISION 6/9

Valsalva Retinopathy

It is a pre retinal hemorrhage caused by sudden increase in intrathoracic or intraabdominal pressure .

Seen in otherwise healthy eye

Causes :

Occurs after an increase in intrathoracic or intraabdominal pressure due to activities such as

  • Coughing
  • Vomiting
  • Lifting heavy weights
  • Strenuous exertion
  • Straining for bowel movement
  • Blowing musical instruments

Symptoms: sudden painless loss of vision

Treatment:

  • Observation
  • Nd Yag laser hyaloidotomy
  • If not resolved with laser , pars plans vitrectomy with removal of blood is an option

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