Postcoital visual loss due to valsalva retinopathy

Michaels, Luke; Tint, Naing L.; Alexander, Philip

doi:10.1136/bcr-2014-207130

Cited by 7 publications

(6 citation statements)

References 8 publications

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“…The case of Valsalva hemorrhage in this report did not present with vomiting. It was somewhat different from several previous reports [ 3 – 5 ]. The Valsalva hemorrhage in this case most likely occurred as a result of the twin-pregnancy.…”

Section: Discussioncontrasting

confidence: 99%

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Valsalva Retinopathy in Twin-Pregnancy: A Case Report and Literature Review

Zhu

et al. 2018

Am J Case Rep

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Patient: Female, 21Final Diagnosis: Valsalva retinopathySymptoms: Sudden visual loss due to twin-pregnancyMedication: NoneClinical Procedure: Conservative treatment of valsalva retinopathy with good and careful prognosisSpecialty: OphthalmologyObjective:Uncommon and rare caseBackground:Valsalva retinopathy is a rare but sight-threatening condition with sudden visual loss. Twin-pregnancy is known as a confirmed risk factor for Valsalva retinopathy.Case Report:A 21-year-old twin-pregnant Chinese woman with 31 weeks of gestation complained of a sudden decrease of visual acuity in her right eye for five hours. Based on the patient’s medical history, clinical findings, laboratory testing and optical coherence tomography (OCT) imaging studies, Valsalva retinopathy was confirmed. Initially, we managed the patient with Nd: YAG (neodymium-doped yttrium aluminum garnet) laser to puncture the posterior portion of the vitreous. As the laser failed to puncture the posterior hyaloid face due to dense premacular hemorrhages, we switched to conservative treatment. We reviewed the case with the patient 12 weeks after an uneventful vaginal delivery. Her right visual acuity had spontaneously increased to 6/6 with no active medical intervention.Conclusions:Valsalva retinopathy can be caused by twin-pregnancy. Patients with Valsalva retinopathy can be managed conservatively with careful prognosis following failed laser treatment. Ophthalmologists and obstetrician should coordinate properly and pay more attention to Valsalva retinopathic patients with twin-pregnancy.

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Section: Discussioncontrasting

confidence: 99%

“…Valsalva retinopathy is a rare condition that presents itself with sudden visual decrease due to pre-retinal hemorrhaging [ 1 , 2 ]. It often occurs in Valsalva maneuvers such as vomiting, constipation, coughing, or even vigorous sexual activity [ 3 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

Valsalva Retinopathy in Twin-Pregnancy: A Case Report and Literature Review

Zhu

et al. 2018

Am J Case Rep

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“…Sexual intercourse can be the source of various hormonal, hematological, and mechanical changements on the hemodynamic system of the organism, which can be a risk factor for valsalva retinopathy [ [10] , [11] , [12] , [13] , [14] ].…”

Section: Clinical Discussionmentioning

confidence: 99%

Postcoital visual loss due to valsalva retinopathy: A case report

Mahjoub

Abdesslem

Abderraeek

et al. 2022

Annals of Medicine &Amp; Surgery

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“…As the name suggests, the condition appears after the Valsalva maneuver has been performed in some capacity during day-to-day activities. The most common activities include weight-lifting, vomiting, coughing, sneezing, aerobic exercises, straining with defecation, blowing musical instruments, strenuous physical activities, sexual intercourse, pregnancy, and after general anesthesia [2,[5][6][7][8][9]. Valsalva retinopathy has also been reported after cardiopulmonary resuscitation [10] and compression injuries [11].…”

Section: Etiology and General Pathologymentioning

confidence: 99%

“…The patient typically reports a central scotoma with the extent of blurring and reduction of vision depending on the location and intensity of the bleeding. Owing to the presence of blood, some reddish hues in vision can also appear [1,2,6,14].…”

Section: Ocular Symptomsmentioning

confidence: 99%

A brief review of Valsalva retinopathy

Asteris¹,

Kalogeropoulos²,

Moussa³

et al. 2022

Med Hypothesis Discov Innov Optom

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Background: Valsalva retinopathy is a specific type of retinopathy that appears following an acute rise in intrathoracic or intra-abdominal pressure. This review focuses on current literature and future directions for the diagnosis and management of Valsalva retinopathy. Methods: In this brief review, the literature was searched to provide an extensive general and updated description of Valsalva retinopathy, focusing on its management and prognosis. Selected articles are summarized to present the etiology, general pathology, pathophysiology, symptoms, signs, diagnosis, differential diagnosis, treatment, and prognosis of Valsalva retinopathy. Results: The main symptom of Valsalva retinopathy is loss of visual acuity following exertion. This is caused by the rupture of small superficial vessels in the macula and perimacular areas, leading to extravasation of blood. No link between age, sex, or race has been found, although fundus vessel abnormalities pose some predisposition to the disease. During fundoscopy, Valsalva retinopathy appears most frequently as well-defined preretinal hemorrhages confined to the sub-internal limiting membrane (ILM) or subhyaloid space. If ILM rupture occurs, hyaloid hemorrhage can appear. Diagnosis is based on the patient’s medical history and a standard examination. Usually, only observation of the patient is required, with the hemorrhage resolving within weeks to months. In cases of large premacular hemorrhage or large sub-ILM/subhyaloid hemorrhage, vitrectomy or Nd:YAG krypton laser membranotomy can be performed. Conclusions: Of all the aspects of Valsalva retinopathy that might trouble the physician, the most challenging features are differential diagnosis and the choice of optimal treatment. Therapeutic strategies for Valsalva retinopathy can be either conservative or based on Nd:YAG laser membranotomy and/or vitrectomy. All methods seem to have good outcomes. However, physicians should not be afraid of advancing beyond conservative therapy, especially in the event of persistent premacular hemorrhage, which could lead to permanent retinal damage if valuable time is lost, even after vitrectomy.

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Postcoital visual loss due to valsalva retinopathy

Cited by 7 publications

References 8 publications

Valsalva Retinopathy in Twin-Pregnancy: A Case Report and Literature Review

Valsalva Retinopathy in Twin-Pregnancy: A Case Report and Literature Review

Postcoital visual loss due to valsalva retinopathy: A case report

A brief review of Valsalva retinopathy

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