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Valsalva Retinopathy after a Vomiting Episode.
João Leite1, Angelina Meireles1,2, Nuno Alves Correia1
1aDepartment of Ophthalmology, Centro Hospitalar e Universitário do Porto, Oporto, Portugal.
Case Reports in Ophthalmology
|February 27, 2023
Summary
A sudden decrease in vision was treated with laser hyaloidotomy for subhyaloid hemorrhage. This minimally invasive Nd:YAG laser treatment effectively restored visual acuity, avoiding surgery.
Area of Science:
- Ophthalmology
- Medical Technology
Background:
- Subhyaloid hemorrhages can cause significant visual impairment.
- Valsalva retinopathy is a common cause of such hemorrhages, often linked to increased intrathoracic pressure.
- Traditional treatments may involve invasive procedures like pars plana vitrectomy.
Observation:
- A 32-year-old female experienced sudden vision loss after vomiting.
- Funduscopic examination revealed a subhyaloid hemorrhage.
- The patient had no prior medical or ophthalmological history.
Findings:
- Diagnosis confirmed Valsalva retinopathy presenting as subhyaloid hemorrhage.
- A minimally invasive Nd:YAG laser hyaloidotomy was performed.
- Visual acuity was fully restored within one week post-procedure.
Implications:
- Nd:YAG laser hyaloidotomy offers a rapid and effective treatment for subhyaloid hemorrhages.
- This approach provides a less invasive alternative to surgical interventions.
- Early intervention with laser treatment can significantly improve patient outcomes and visual recovery.
