A Case of Valsalva Retinopathy following Normal Delivery.

Lim, Dongkwon; Joo, Myung Jin; Kim, Jae Suk; Lee, Joo Hwa

Case Report

Journal of the Korean Ophthalmological Society 2004;45(12):2151-2154.
Published online December 1, 2004.

A Case of Valsalva Retinopathy following Normal Delivery.

Dongkwon Lim, Myung Jin Joo, Jae Suk Kim, Joo Hwa Lee

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.

정상분만 후 발생한 Valsalva retinopathy 1예

임동권 ( Dong Kwon Lim ) , 주명진 ( Myung Jin Joo ) , 김재석 ( Jae Suk Kim ) , 이주화 ( Joo Hwa Lee )

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.

Key Words: Normal delivery;Valsalva retinopathy