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Valsalva Retinopathy Presenting as Subretinal Hemorrhage.
Conci, Lívia; Pereira, Eliza; Navajas, Samia; Neto, Epitacio Silva; Pimentel, Sérgio; Zacharias, Leandro.
Afiliação
  • Conci L; Department of Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil.
  • Pereira E; Department of Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil.
  • Navajas S; Department of Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil.
  • Neto ES; Department of Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil.
  • Pimentel S; Department of Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil.
  • Zacharias L; Department of Ophthalmology, University of Sao Paulo, Sao Paulo, Brazil.
Case Rep Ophthalmol Med ; 2024: 4865222, 2024.
Article em En | MEDLINE | ID: mdl-38715947
ABSTRACT

Purpose:

To describe a case of subretinal hemorrhage due to the Valsalva maneuver in a patient with no underlying chorioretinal disease.

Methods:

History and clinical examination, optical coherence tomography (OCT), fluorescein, and indocyanine green angiography.

Results:

We report a case of a 35-year-old man with a 4-day history of central vision loss in the left eye (OS) after a vomiting episode. His best-corrected visual acuity was 20/200 in OS. Fundus examination revealed a subretinal hemorrhage in the posterior pole, associated with a small preretinal hemorrhage in the superotemporal arcade. OCT confirmed the presence of a thick submacular hemorrhage and a focal hemorrhage beneath the inner limiting membrane along the superotemporal arcade. The patient was submitted to pars plana vitrectomy (PPV), subretinal injection of tissue plasminogen activator (tPA), and air tamponade on the following day. Most of the submacular hemorrhage was displaced, resulting in a satisfactory visual outcome (BCVA = 20/30 after 1 month of surgery). Fluorescein and indocyanine green angiography excluded conditions such as retinal arterial macroaneurysm, polypoidal chorioretinopathy, and choroidal neovascularization.

Conclusion:

Although rare, Valsalva retinopathy may present with submacular hemorrhage in a patient with no underlying chorioretinal disease. PPV and subretinal tPA injection may provide a good visual outcome.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Case Rep Ophthalmol Med Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Case Rep Ophthalmol Med Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos