A Case of Atypical Valsalva Retinopathy after Strenuous Exercise.

Kim, Dong Kyu; Lee, Woo Jin; Cho, Moon Sik; Kim, Joon Soon

Case Report

Journal of the Korean Ophthalmological Society 2005;46(5):915-920.
Published online May 31, 2005.

A Case of Atypical Valsalva Retinopathy after Strenuous Exercise.

Dong Kyu Kim, Woo Jin Lee, Moon Sik Cho, Joon Soon Kim

Department of Ophthalmology, Soonchunhyang University, College of Medicine, Cheoan, Korea. jskimoph@sparc.schch.co.kr

극기 훈련 후 발생한 비정형 발살바 망막병증

김동규,이우진,조문식,김준순

Department of Ophthalmology, Soonchunhyang University, College of Medicine, Cheoan, Korea

Correspondence: Dong-Kyu Kim, M.D.

Abstract

PURPOSE
To report a case of recurrent bilateral preretinal hemorrhages in a healthy male with no previous history of systemic or ocular diseases and to review the relevant literature. METHODS: History taking, measurement of visual acuity and intraocular pressure, slit-lamp examination, fundoscopy, and fluorescein angiography were performed in a 15-year-old male who had experienced a sudden decrease in visual acuity in both eyes after a couple of strenuous exercises in school. RESULTS: Best-corrected visual acuity (BCVA) was 0.9 in the right eye and 0.2 in the left, and bilateral premacular hemorrhages were observed. Most of the preretinal hemorrhages were completely resolved by the sixth week and visual acuity in the left eye improved to 0.6. Nine months after the initial event, preretinal hemorrhages recurred bilaterally, worse in the left eye, and BCVA decreased to 0.3 in the right eye and 0.02 in the left eye. We performed Nd: YAG laser disruption of the internal limiting membrane in the left eye. Four weeks after the procedure, most of the preretinal hemorrhages were resolved and visual acuity in the left eye improved to 0.2. CONCLUSIONS: Clinical improvement was achieved after Nd: YAG laser disruption of the internal limiting membrane in a case of recurrent bilateral preretinal hemorrhages.

Key Words: Bilateral;Nd: YAG laser disruption;Recurrent;Valsalva retinopathy