J Korean Ophthalmol Soc.  2004 Dec;45(12):2151-2154.

A Case of Valsalva Retinopathy following Normal Delivery

Affiliations
  • 1Department of Ophthalmology, Inje University Seoul Paik Hospital, Seoul, Korea. mjjoo@ijnc.inje.ac.kr
  • 2Department of Ophthalmology, Inje University Sanggye Paik Hospital, Seoul, Korea.

Abstract

PURPOSE
We report a case of Valsalva retinopathy following normal delivery. METHODS: A 32-year-old woman presented with visual blurring in her right eye which had developed on the previous day. At the first visit, visual acuity was 0.02 with correction. Anterior segment examination was unremarkable and dilated fundus examination revealed a dumbbell-shaped preretinal hemorrhage in the macula. Preretinal hemorrhage was a well-demarcated, red-colored subinternal limiting membrane hemorrhage. Fluorescein angiography demonstrated blocked fluorescence due to hemorrhage. The patient was followed up for two years. RESULTS: Two weeks after the first visit, the size of the preretinal hemorrhage decreased. Three weeks after the first visit, there was marked resolution of the hemorrhage with yellowish degeneration, but visual acuity did not improve. Six weeks after the first visit, the preretinal hemorrhage was resolved completely and visual acuity returned to normal with no specific treatment.

Keyword

Normal delivery; Valsalva retinopathy

MeSH Terms

Adult
Female
Fluorescein Angiography
Fluorescence
Hemorrhage
Humans
Membranes
Visual Acuity
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