Valsalva retinopathy during end stage labour:considerations for treatment (a case report) / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

AIM: To discuss the options for treatment (conservative versus surgical) in cases of Valsalva Retinopathy, reported during pregnancy.METHODS:We report the case of a healthy pregnant woman, who developed a dense premacular subhyaloid haemorrhage, in the right eye following a normal spontaneous vaginal delivery. She was managed conservatively.RESULTS: At 3 weeks the haemorrhage had contracted and the vision was HM but by the 6th month, the haemorrhage had resolved and vision returned to 6/5 in the right eye.CONCLUSION: Most cases of Valsalva retinopathy resolve spontaneously. Authors have shown the beneficial effect of NdYAG membranotomy of the internal limiting membrane.Early vitrectorny has also been advocated, as it delaminates the membrane which can act a scaffold for neovascularization.