Traitement précoce par laser Nd:YAG de la rétinopathie de Valsalva : résultats à propos de cinq cas et revue de la littérature

Matonti, F.; Donadieu, V.; Hoffart, L.; Dornadin, A.; Nadeau, S.; Roux, Sandrine; Denis, D.

doi:10.1016/j.jfo.2013.01.007

Cited by 13 publications

(2 citation statements)

References 14 publications

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“…Haemorrhages after a Valsalva manoeuvre are mainly reported to be located under the internal limiting membrane [6, 7], and therefore, laser membranotomy is recommended when the haemorrhage has not regressed within 3 weeks [7]. Location of a Valsalva-related haemorrhage in the Henle layer appears to be rare and needs a different way of treatment, as laser membranotomy would result in tissue damage at the fovea.…”

Section: Discussionmentioning

confidence: 99%

Henle Fibre Layer Haemorrhage after a Valsalva Manoeuvre

Leisser

Huemer

Findl

2021

Case Rep Ophthalmol

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A male patient, 59 years of age, presented with sudden deterioration of visual acuity (VA) caused by a Henle fibre layer haemorrhage (HFLH) in our outpatient department. He reported being under treatment with acetylsalicylic acid and experienced a Valsalva manoeuvre before he observed reduced vision. Due to the impairment caused by the haemorrhage, disturbing the patient’s daily activities, intravitreal injection of recombinant tissue plasminogen activator combined with SF6 and bevacizumab was offered. After this procedure, the HFLH disappeared, VA improved from 20/40 to 20/20 (Snellen) 3 months after treatment and a typical hyperreflective vertical line was seen in optical coherence tomography.

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