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RECURRENT OPTIC DISC PIT MACULOPATHY DUE TO VALSALVA'S MANEUVER
Francyne Veiga Reis Cyrino1, Joao Pedro Guzzi Marques2, Rodrigo Jorge3
1Retina and Vitreous Department, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
Retinal Cases & Brief Reports
|February 2, 2023
Summary
Valsalva maneuver can trigger recurrent optic disc pit maculopathy. Patients with optic disc pits should avoid activities increasing intraocular pressure to prevent vision-threatening complications.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Optic Nerve Head Anomalies
Background:
- Optic disc pit (ODP) is a rare congenital anomaly of the optic nerve head.
- Serous retinal detachment can occur secondary to ODP, leading to vision impairment.
Observation:
- A 12-year-old male experienced recurrent maculopathy following Valsalva's maneuver.
- The patient presented with serous retinal detachment associated with an optic disc pit.
Findings:
- Histopathology reveals herniation of dysplastic retina into a posterior pocket extending into the subarachnoid space.
- Dynamic interactions between intraocular, optic nerve head, and subarachnoid spaces are crucial in ODP-related serous retinal detachment.
Implications:
- Valsalva's maneuver is hypothesized to play a role in the genesis of ODP maculopathy.
- Patients with ODP should avoid intense physical activities and wind instrument use to prevent recurrence.
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