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Valsalva retinopathy induced by handstand: a case report
Toshiya Miyaki1, Teruyo Kida1, Shou Oosuka1
1Department of Ophthalmology, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki City, Osaka, 569-8686, Japan.
BMC Ophthalmology
|September 15, 2020
Summary
Valsalva retinopathy, a type of eye hemorrhage, can be triggered by strenuous activities like handstands. This case highlights how straining during a handstand led to sub-internal limiting membrane hemorrhage and vitreous hemorrhage in a young patient.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
Background:
- Valsalva retinopathy results from increased venous pressure causing retinal hemorrhage.
- It is typically associated with activities causing rapid intrathoracic or intraabdominal pressure increases.
Observation:
- A 15-year-old male presented with sudden visual decline in his left eye after a 10-second handstand.
- Initial examination revealed vitreous hemorrhage (VH); subsequent exams showed resolved VH and an oval sub-internal limiting membrane (sub-ILM) hemorrhage superonasal to the optic nerve head.
- The sub-ILM hemorrhage resolved spontaneously over four months without macular involvement.
Findings:
- The case suggests a handstand-induced Valsalva retinopathy.
- The likely progression was straining during the handstand, leading to sub-ILM hemorrhage, which then evolved into VH.
Implications:
- This case expands the known triggers for Valsalva retinopathy to include specific straining maneuvers like handstands.
- It underscores the importance of considering unusual physical activities as potential causes of retinal hemorrhages in young individuals.
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