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Achoo - God bless you!

Dhaivat Shah1

  • 1Department of Vitreoretina, Choithram Netralaya, Indore, Madhya Pradesh, India.

Indian Journal of Ophthalmology
|January 28, 2022
PubMed
Summary
This summary is machine-generated.

Sneezing can cause Valsalva retinopathy, leading to vision loss. Prompt diagnosis and surgical drainage of sub-internal limiting membrane (ILM) hemorrhage, as demonstrated in this case, can restore visual acuity.

Keywords:
ILM peelingSub-ILM hemorrhageValsalva retinopathyVitrectomy

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Area of Science:

  • Ophthalmology
  • Retinal Surgery

Background:

  • Sneezing can rarely cause Valsalva retinopathy, a condition where bleeding occurs in the eye.
  • If bleeding occurs in the macula, it can lead to irreversible vision loss.
  • Prompt diagnosis and treatment are crucial for managing this condition.

Purpose of the Study:

  • To highlight the diagnostic markers for sub-internal limiting membrane (ILM) hemorrhage.
  • To demonstrate the surgical technique for draining sub-ILM bleeds using microincision vitreoretinal surgery.

Main Methods:

  • A case of Valsalva retinopathy with sub-ILM hemorrhage after sneezing is presented.
  • Surgical management involved vitrectomy with internal limiting membrane (ILM) peeling and blood drainage.
  • Key steps include posterior vitreous detachment (PVD) induction and careful ILM peeling.

Main Results:

  • The patient presented with a large sub-ILM bleed over the macula one month after sneezing.
  • Following vitrectomy with ILM peeling and blood drainage, visual acuity improved to 20/40.
  • The technique effectively cleared macular hemorrhage, preventing further retinal damage.

Conclusions:

  • Distinguishing sub-ILM hemorrhage from sub-hyaloid bleeds is critical.
  • Successful PVD induction and meticulous ILM peeling are essential surgical steps.
  • Microincisional vitreoretinal surgery offers an effective method for draining sub-ILM hemorrhage.