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Updated: Aug 16, 2026

Retinal Vascular Reactivity as Assessed by Optical Coherence Tomography Angiography
Published on: March 26, 2020
Optical coherence tomography findings in valsalva retinopathy
Dhananjay Shukla1, Kannan B Naresh, Ramasamy Kim
1Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India. daksh66@rediffmail.com
Purpose:
To demonstrate the plane of premacular hemorrhage in Valsalva retinopathy with optical coherence tomography
Design:
Observational case report
Methods:
Two young men with Valsalva stress-related premacular hemorrhage were evaluated by OCT scans, taken just above the level of sedimented blood.
Results:
In both cases, OCT demonstrated two distinct membranes: a highly reflective band immediately above the premacular hemorrhage, corresponding to the internal limiting membrane, and an overlying patchy membrane with low optical reflectivity consistent with posterior hyaloid.
Conclusion:
OCT supported the clinical impression that the plane of premacular hemorrhage in Valsalva retinopathy is probably under ILM. Larger case studies are required to confirm this finding.
