Valsalva haemorrhagic retinopathy after push-ups

Hassan, M; Iqbal, Tajunisah

doi:10.1016/s0140-6736(10)60677-0

Cited by 14 publications

(11 citation statements)

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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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“…[14,15] Because of the sudden increase in venous pressure, retinal capillaries spontaneously rupture. [14][15][16][17][18][19] Notably, retinal capillaries supply the NFL layer; [11] thus, this rupture manifests as IPH. In addition, the classical pattern of Valsalva retinopathy often presents as preretinal hemorrhage or subinternal limiting membrane hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Demographic profile, clinical features, and outcome of peripapillary subretinal hemorrhage: an observational study

Zou

Zhang

Huang

et al. 2020

Preprint

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Background: To evaluate the etiology, demographic profile, clinical features, and outcomes in patients with peripapillary subretinal hemorrhage (PSH).Methods: Thirty-eight eyes of 37 consecutive patients with PSH were enrolled in this prospective observational study over 4 years; all were followed for 2 years. The main outcome measures were demographic profile, possible etiology, clinical features, outcome, and prognosis.Results: Sixty-eight percent (26/38) of eyes were in female patients; the mean patient age was 20 years. Only 1 patient (1/37) showed bilateral involvement. All patients experienced acute onset of PSH. All eyes were myopic and their best-corrected visual acuities ranged from 20/1000 to 20/12.5. The fundus features of affected eyes were classified into 3 groups: (1) PSH alone (4/38 eyes, 10.5%); (2) PSH with intrapapillary hemorrhage (17/38 eyes, 44.7%); (3) PSH with intrapapillary and vitreous hemorrhage (17/38 eyes, 44.7%). PSH occurred in nasal edges of optic discs with a crescent shape and dull-red color. All affected optic discs were small and crowded, exhibiting variable degrees of tilting. The cup of affected optic discs was narrower and deeper than that of normal control discs. Other ancillary tests provided no additional value. After a mean follow-up of 2.85 months, the hemorrhages resolved spontaneously without sequelae. Recurrence of disease was not observed in any patients. Conclusions: PSH is common in myopic eyes with tilted optic discs. We suspect that these hemorrhages occurred as a result of abrupt movement acting on a morphologically vulnerable optic disc.

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“…Valsalva hemorrhagic retinopathy occurs with many common and seemingly benign events, including the following: sneezing [28], coughing [29], coughing secondary to an asthma attack [30], vomiting [14,31,32], vomiting after anesthesia [14] and during pregnancy [14,33], normal labor [34], a speech contest [35], dancing [14,36,37], defecation [28], riding a roller coaster [28], blowing up of balloons [38] and rubber gloves [39], sexual activity [28,40], weightlifting for sport [14,[41][42][43] and other heavy lifting [28], pushups [44], military [25] and other vigorous exercise [45,46], motorcycle stunt riding [47], bungee jumping [48], intentional breath holding and choking [49], and compressive trauma [14,28].…”

Section: Discussionmentioning

confidence: 99%