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Case Reports
. 2022 Sep 30;13(3):706-710.
doi: 10.1159/000525312. eCollection 2022 Sep-Dec.

Valsalva Retinopathy after a Vomiting Episode

João Leite  1 , Angelina Meireles  1   2 , Nuno Alves Correia  1
Affiliations
Case Reports

Valsalva Retinopathy after a Vomiting Episode

João Leite et al. Case Rep Ophthalmol. .

Abstract

This case presents a minimal invasive alternative for the treatment of subhyaloid hemorrhages. Young, female, 32 years old, with no regular medication and with no personal or ophthalmological history, reports a sudden and profound decrease in visual acuity after an episode of vomiting, with 2 days of evolution. After funduscopic observation and complementary diagnostic tests, subhyaloid hemorrhage was detected and laser hyaloidotomy was performed, with restoration of visual acuity after 1 week. Nd:YAG laser treatment made it possible to quickly restore the visual acuity of the patient after following diagnostic procedures, avoiding other types of treatments, such as pars plana vitrectomy. This case reports a Valsalva retinopathy with clinical presentation in the form of subhyaloid hemorrhage after an episode of self-limited vomiting, effectively treated with Nd: YAG laser.

Keywords: Macular hemorrhage; Nd:YAG laser; Retinal hemorrhage treatment; Valsalva retinopathy.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Macula SD-OCT at presentation (a, b) and fundus photography at presentation, MultiColor 55° ART [HR] (c).
Fig. 2
Fig. 2
Fundus photograph with hematic drainage, 2 min after ND:YAG laser hyaloidotomy, MultiColor 55° ART [HR].
Fig. 3
Fig. 3
One week after procedure: macular SD-OCT, with posterior hyaloid disruption (a) (indicated by upper arrows at the top of the image) and good foveal depression (b) and fundus photography, MultiColor 55° ART [HR] (c).
See this image and copyright information in PMC

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Publication types