Postcoital visual loss due to valsalva retinopathy: A case report. (October 2022)

• Record Type: Journal Article
• Authors: Mahjoub, Ahmed; Ben Abdesslem, Nadia; Ben Abderrazek, Atf; Mahjoub, Anis; Ben Ammar, Dorra; Bachraoui, Chirine; Bouatay, Abdelkarim; Bouslama, Emna; Ghorbel, Mohamed; Mahjoub, Hachemi
• Is Part Of: Annals of medicine and surgery. Volume 82(2022)
• Publication Date: 2022-10
• Subjects: Case report -- Valsalva retinopathy -- Sexual activity -- Nd:YAG laser hyaloidotomy -- Swept source OCT; Nd:YAG Neodymium:yttrium-aluminum-garnet -- OCT Optical coherence tomography; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.104721
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Valsalva retinopathy is a rare pathology presenting as a sudden and painless loss of vision affecting young subjects with no medical history. It is the result of an increase of intraocular venous pressure, leading to retrohyaloid haemorrhage. We describe here the clinical presentation of a retrohyaloid hemorrhage resulting from a valsalva mechanism following a sexual activity, in a 28-year-old patient treated by Neodymium:yttrium-aluminum-garnet (Nd:YAG) laser hyaloidotomy with a visual recovery of 20/20 on 3 weeks follow-up. Valsalva retinopathy is a rare and an easy-to-diagnose pathology that is safely handled by Nd:YAG laser hyaloidotomy for a quick visual acuity recovery. Highlights: Report a case of a valsalva retinopathy occuring in a young healthy adult following a sexual activity. Develop our personal experience and how we managed to jugulate the hemorrhage by a Nd-yag laser membranotomy. Describe the mechanisms leading to Valsalva retinopathy and its management by a Nd-yag laser membranotomy.