Sub-internal limiting membrane cavity following valsalva retinopathy resembling central serous chorioretinopathy

Tripathy, Koushik; Chawla, Rohan; Vekaria, Laxman; Sharma, Yog Raj

doi:10.4103/jovr.jovr_192_16

Cited by 9 publications

(9 citation statements)

References 4 publications

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“…Thus, in our present case, fluorescein and indocyanine green angiography examinations were performed after the hemorrhage was resolved, and our findings revealed no obvious retinal or choroidal vascular abnormalities at the site of the bleeding site. Moreover, our OCT imaging findings revealed a persistent ILM and sub-ILM cavity [18].…”

Section: Discussionmentioning

confidence: 62%

Valsalva retinopathy induced by handstand: a case report

et al. 2020

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Background Valsalva retinopathy is known to occur as a sudden preretinal or sub-internal limiting membrane hemorrhage induced by a rapid rise in venous pressure following increased intrathoracic or intraabdominal pressure. Here we report a case of Valsalva retinopathy that was probably induced by straining that occurred due to following a handstand. Case presentation A 15-year-old boy became aware of decreased visual acuity in his left eye immediately after doing a handstand for approximately 10 s during physical education class, and subsequently visited a local clinic on the same day. Upon examination, a vitreous hemorrhage (VH) in the posterior pole of the fundus was found in his left eye, and he was subsequently referred to our department 7 days later. Upon examination, the VH around the optic nerve head of the left eye appeared to be resolved, and an oval-shaped sub-internal limiting membrane (sub-ILM) hemorrhage was found in the superonasal side of the optic nerve head. No abnormalities were observed in the macular area. Four months later, the sub-ILM hemorrhage was found to have spontaneously resolved. Subsequent fluorescein angiography examinations revealed no abnormal findings at the lesion site. Conclusions In this patient, we hypothesize that the Valsalva retinopathy was induced by straining that occurred due to a handstand, and that the resultant sub-ILM hemorrhage progressed to VH.

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Section: Discussionmentioning

confidence: 62%

Valsalva retinopathy induced by handstand: a case report

et al. 2020

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“… 4 In fact, some of these cavities may simulate a neurosensory retinal detachment or central serous chorioretinopathy on cursory clinical examination. 5 To confirm that the features of the current patient 1 are indeed related to the optic disc pit, it is necessary for the authors to provide an OCT scan which shows a connection of the presented cavity with the optic disc pit. Also, clear OCT scans of the fovea, both at presentation and at final follow-up would help our understanding of the visual recovery of the patient.…”

Section: Dear Editormentioning

confidence: 87%

Spontaneous Resolution of Optic Disc Pit Maculopathy

Tripathy

2017

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“…9 The detachment of the ILM from the nerve fiber layer in these cases is due to a pushing effect of the preretinal hemorrhage itself. Once the hemorrhage resolves, this sub-ILM cavity 5 may be seen in these cases. During the surgery in the present case, the detached ILM was removed till the margin of sub-ILM bleed in either eye.…”

Section: Discussionmentioning

confidence: 97%

“…The right fundus showed a cup to disk ratio of 0.4, inner retinal dimplings just temporal to fovea 4 and superotemporal to the fovea (Figure 1(b), arrowhead). The margin of the previous sub-ILM cavity was noted as a curvilinear line 5 (* in Figure 1(b)). The left eye had a cup to disk ratio of 0.5, and the central media was hazy due to cataract.…”

Section: Case Presentationmentioning

confidence: 99%

Dissociated optic nerve fiber layer in a case of Terson syndrome

Tripathy

2019

European Journal of Ophthalmology

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Purpose: To report a case of Terson syndrome who developed dissociated optic nerve fiber layer appearance after pars plana vitrectomy. Case report: The author reports a young male patient with Terson syndrome who developed bilateral vitreous hemorrhage and sub-internal limiting membrane hemorrhage after road traffic accident. He underwent pars plana vitrectomy and removal of the already detached internal limiting membrane and the sub-internal limiting membrane hemorrhage in both eyes. In both eyes, dissociated optic nerve fiber layer was appreciated and left eye had a peculiar resemblance to the appearance of cystoid macular edema. Conclusions: Dissociated optic nerve fiber layer appearance may be noted following vitrectomy and removal of detached internal limiting membrane in patients with vitreous hemorrhage and sub-internal limiting membrane bleed due to Terson syndrome.

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Sub-internal limiting membrane cavity following valsalva retinopathy resembling central serous chorioretinopathy

Cited by 9 publications

References 4 publications

Valsalva retinopathy induced by handstand: a case report

Valsalva retinopathy induced by handstand: a case report

Spontaneous Resolution of Optic Disc Pit Maculopathy

Dissociated optic nerve fiber layer in a case of Terson syndrome

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