Macular Pseudohypopyon in Bilateral Terson's Syndrome

PURPOSE: To report a case of a macular pseudohypopyon in the right eye in bilateral Terson's syndrome. CASE SUMMARY: During a right eye vitrectomy of a 56-year-old female patient who showed bilateral Terson's syndrome with subarachnoid hemorrhage, a macular pseudohypopyon was observed. In an oval-shaped subinternal limiting membrane cyst (4x2 diameter size disc) including the central fovea, white exudates with fluid levels were present. The macular pseudohypopyon in the right eye was suspected to have occurred during the absorption of the subinternal limiting membrane hemorrhage. In the left eye, white exudates were clustered in the central fovea. In the right eye, the central fovea was above the fluid level of the pseudohypopyon, and corrected visual acuity was 1.0 after 6 months. Two months after the operation, the pseudohypopyon was absorbed.

Valsalva Retinopathy Associated with Blowing up of a Rubber Glove

PURPOSE: Valsalva retinopathy is very uncommon disease, but can cause sudden reduction of visual acuity by unilateral macular hemorrhage due to a rapid rise in intrathoracic or intraabdominal pressure. It resolves usually within 1-3 months without specific treatment. We report a case associated with blowing up of a rubber glove. METHODS: A healthy young adult with normal visual acuity experienced visual blurring in one eye. At first visit, visual acuity was 0.06 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. RESULT: Two weeks after first visit, the size of preretinal hemorrhage decreased. Three weeks after first visit, there was marked resolution of the hemorrhage with yellowish degeneration, but visual acuity was not improved. Six weeks after first visit, the preretinal hemorrhage resolved completely and visual acuity returned to normal. DISCUSSION: Valsalva retinopathy associated with blowing up of a rubber glove resolved within 6 weeks without no specific treatment.