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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 332-334

Clinical and spectral-domain optical coherence tomography findings in Valsalva retinopathy


Vitreo-Retinal Services, Suraj Eye Institute, Nagpur, Maharashtra, India

Correspondence Address:
Dr. Sarang P Lambat
Suraj Eye Institute, 559, New Colony, Near Byramji Town, Sadar, Nagpur - 440 001, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2746_20

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Valsalva retinopathy is a prominent cause of premacular hemorrhage in young patients. We report the case of a young male patient with premacular hemorrhage due to Valsalva retinopathy who underwent Neodymium-doped Yttrium Aluminum Garnet (Nd: YAG) laser evacuation of the blood. Within 5 minutes, there was a significant clearance of the blood from the macular area. A week later we could demonstrate a vascular sign on fluorescein angiography. It is known that the source of blood in Valsalva retinopathy is the rupture of perifoveal capillaries. Based on the findings on fluorescein angiography we could postulate that the bleeding in our case could have been due to the rupture of a larger retinal venule.


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