Sub-internal limiting membrane haemorrhage as a manifestation of transiently deranged coagulation profile following SARS-CoV-2 infection

Suhan, Dinesh; Padhy, Srikanta Kumar; Panda, Krushna Gopal; Kelgaonkar, Anup

doi:10.1136/bcr-2021-247745

Cited by 7 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Valsalva-induced and spontaneous sub-ILM and vitreous hemorrhages due to temporarily dysfunctional coagulation status in patients with SARS-CoV-2 infection were also described in recent years [14,15,16]. Another possible cause is Terson's syndrome, which arises secondary to subarachnoid hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

View full text Add to dashboard Cite

show abstract

“… No OCT, FA Purtscher's-like retinopathy IV steroids VA OD: 20/25, OS: 20/80 Insausti-Garcia et al 84 1 (M) 40 Mild 20/20 OU, decreased to 20/200 OS 6 weeks Elevated D-dimer, CRP, fibrinogen Yes, negative OCT, FA Papillo-phlebitis ASA, IVI dexamethasone, topical NSAID VA 20/40, resolution of edema Invernizzi et al 85 1 (F) 54 Mild 20/40 10 days Elevated CRP, ESR, LDH, PT, aPTT, LDH, fibrinogen, D-Dimer No OCT, FA, FAF Retinal hemorrhage and whitening, venous tortuosity Oral steroids VA 20/20 with resolution of retinal alterations Shah et al 86 1 (M) 33 Mild 20/20 OU 1.5 months prior to COVID-19 diagnosis Unremarkable No OCT, FA Anterior uveitis, CWS Topical steroid, cycloplegic Complete resolution of CWS and uveitis at 2 months. Final VA not stated Suhan et al 87 1 (M) 41 Mild OD: 20/60 OS: 20/20 4 weeks Prolonged PT and PTT No OCT, FA Sub-ILM hemorrhage Observation Resolution of hemorrhage. Final VA not reported.…”

Section: Methodsmentioning

confidence: 99%