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Valsalva retinopathy induced by labour
A Ladjimi1, S Zaouali, R Messaoud
1Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia. ahmed.ladjimi@rns.tn
Purpose:
To describe a patient with Valsalva retinopathy induced by labour.
Methods:
Case report.
Results:
A 29-year-old woman at her second pregnancy complained of a sudden loss of vision in her left eye during spontaneous labour. Visual acuity was reduced to counting fingers. Funduscopy revealed a large preretinal hemorrhage at the macula in the left eye. Three weeks after delivery, the hematoma was treated with Nd:YAG laser. Two weeks after treatment, visual acuity was 20/20 and the premacular hemorrhage had resolved.
Conclusions:
A rise in intra-abdominal pressure during labour may result in Valsalva retinopathy. Nd:YAG laser may be useful in treating such hemorrhage.
