Multiple Retinal Holes Secondary to Valsalva Retinopathy

Gurung, Rajya Laxmi

doi:10.1155/2018/8950682

Cited by 5 publications

(9 citation statements)

References 5 publications

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“…5,21,24 Epiretinal membrane formation 10 months after Nd:YAG laser membranotomy and full thickness macular hole formation after Nd:YAG laser membranotomy were reported in the literature. [24][25][26] In this case series, any complication related to Nd:YAG laser was not observed during the follow-up period.…”

Section: Discussionmentioning

confidence: 59%

Valsalva retinopathy: Long-term results and management strategies

Dülger¹,

Özdal²,

Teke³

2020

European Journal of Ophthalmology

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Purpose: To investigate the long-term results and efficacy of the treatment modalities for preretinal hemorrhage due to valsalva retinopathy. Methods: Retrospective review was conducted on 24 eyes of 24 patients with valsalva retinopathy who were treated between 2004 and 2019. These patients were treated with Nd:YAG laser, argon laser and vitrectomy or were only observed. Nd:YAG laser hyaloidotomy was performed in 10 eyes, argon laser was applied to two of those following failed Nd:YAG laser, and vitrectomy was performed in one eye. A conservative approach was adopted in 13 eyes. Results: There were 15 females and nine males with mean age of 41.08 ± 12.72 (21–65) years. Mean follow-up period was 42.83 ± 23.78 (range: 12–116) months. Patients with hemorrhage size smaller than or equal to 4-disc diameter were observed for spontaneous resorption and achieved 20/20 visual acuity within 6 months. Visual acuity of all patients treated with Nd:YAG and/or argon laser, increased within the first week after the treatment. Vitrectomy was performed in only one patient with hemorrhage located away from macula. The good visual outcomes were achieved in all treatment modalities. Conclusions: Observation, Nd:YAG laser and argon laser seem to be safe and effective approaches for eyes with valsalva retinopathy. The size, volume and duration of hemorrhage are the most crucial factors for treatment choice, success and complications.

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Section: Discussionmentioning

confidence: 59%

Valsalva retinopathy: Long-term results and management strategies

Dülger¹,

Özdal²,

Teke³

2020

European Journal of Ophthalmology

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“…One of the cases that underwent pars plana vitrectomy developed cataract postoperatively and required cataract surgery. Successful Nd:YAG laser hyaloidotomy for Valsalva premacular haemorrhage with the size of more than three disc diameters and enough haemorrhage pocket depth was also been reported by Mehdi et al 4 However, the challenge of performing Nd: YAG laser hyaloidotomy is the proximity to the retinal surface, which may cause macular hole 5 , retinal detachment, and epiretinal membrane formation. Our patient was treated with pars plana vitrectomy as his vitreous and preretinal haemorrhage was noted to be more than one disc diameter which did not resolve after 1 month.…”

Section: Discussionmentioning

confidence: 85%

A case of air pollution-induced Valsalva retinopathy

Eng

Lim

2021

MyJO

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This is a case of Valsalva retinopathy during the season of annual transboundary haze pollution in Sarawak. A 22-year-old man with no known medical illness developed sudden onset of painless visual acuity loss preceded by persistent cough. Left eye fundus showed dense preretinal haemorrhage covering optic disc extendinginferiorly with breakthrough vitreous haemorrhage. The patient underwent pars plana vitrectomy, endolaser, and fluid gas exchange in view of persistent dense vitreous haemorrhage after a month of conservative management. In conclusion, pars plana vitrectomy can be considered as a safe and effective treatment option for patients with Valsalva retinopathy developing extensive premacular haemorrhage.

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“…This procedure involves laser perforation of the posterior hyaloid membrane or ILM resulting in drainage and inferior settlement of the blood into the vitreous cavity [20]. Nd: YAG laser is considered to be relatively safe, affordable and effective option in treatment of this condition, yet several complications including macular hole, epiretinal membrane and retinal detachment were reported [19,21]. There are remaining questions about patient selection, timing of laser treatment energy levels needed.…”

Section: Discussionmentioning

confidence: 99%

Exercise-induced Valsalva retinopathy: A case report and literature review

et al. 2022

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Introduction. Valsalva retinopathy is an uncommon disorder that usually presents with acute onset of unilateral, or less frequently, bilateral visual impairment varying from subtle scotoma to total vision loss. It occurs as a result of Valsalva?s maneuver. In the vast majority of cases, hemorrhage is preretinal although subretinal, intraretinal and vitreous hemorrhage can be found. Valsalva retinopathy often develops due to numerous triggering activities such as vomiting, coughing, heavy weight lifting, intense aerobic exercise, labor and general anesthesia. Management options are either clinical observation or invasive techniques. We report a case of premacular hemorrhage due to Valsalva retinopathy induced by gym training. Case Outline. A 34 year-old woman was referred to the Eye Clinic, University Clinical Center of Serbia, complaining of sudden and painless unilateral decrease in vision occurred during intense physical activity. Best corrected visual acuity was measured as counting fingers at five meters distance. Dilated fundoscopy demonstrated a large, well demarcated premacular subhyaloid hemorrhage with visible rupture of the retinal vein branch. The patient was treated conservatively. Three months after the onset of symptoms, hemorrhage absorbed and best corrected visual acuity was 20/20. Conclusion. Valsalva retinopathy, although a rare condition, should not be omitted as a differential diagnosis of retinal and vitreous hemorrhages. Standard, observational treatment is generally sufficient for complete recovery of vision, however literature suggests that an individualized approach to each patient is required.

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Multiple Retinal Holes Secondary to Valsalva Retinopathy

Abstract: Valsalva retinopathy is a common condition but retinal holes secondary to Valsalva retinopathy are rarely reported. The author believes this to be the first report to describe multiple retinal holes after hyaloidotomy for Valsalva retinopathy.

Cited by 5 publications

References 5 publications

Valsalva retinopathy: Long-term results and management strategies

Valsalva retinopathy: Long-term results and management strategies

A case of air pollution-induced Valsalva retinopathy

Exercise-induced Valsalva retinopathy: A case report and literature review

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