A Case of Valsalva-induced Subhyaloid Hemorrhage Nasal to the Optic Disc.

Chung, Soh Hyang; Kook, Kyung Hoon; Kim, Sung Soo; Kim, Ho Kyum

Case Report

Journal of the Korean Ophthalmological Society 2002;43(12):2603-2606.
Published online December 1, 2002.

A Case of Valsalva-induced Subhyaloid Hemorrhage Nasal to the Optic Disc.

Soh Hyang Chung, Kyung Hoon Kook, Sung Soo Kim, Ho Kyum Kim

¹Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. sohhyang@hanmail.net
²Department of Ophthalmology, National Health Insurance Corporation, Ilsan Hospital, South Korea.

시신경유두비측출혈로 나타난 발살바 망막증 1예

정소향 ( Soh Hyang Chung ) , 국경훈 ( Kyung Hoon Kook ) , 김성수 ( Sung Soo Kim ) , 김호겸 ( Ho Kyum Kim )

Abstract

PURPOSE
To report a case of valsalva hemorrhagic retinopathy. METHODS: A 14 year-old healthy man who presented with subhyaloidal and subretinal hemorrhages after blowing his nose over 30 times. RESULTS: Initial visual acuity was 20/20 and right fundal examination revealed peripapillary subhyaloidal and subretinal hemorrhages as well as vitreous hemorrhage. Fluorescein angiography demonstrated blocked fluorescences due to the hemorrhage and no leakage from the retinal vessels. At 4 week follow up, corrected visual acuity remained as 20/20 and subhyaloidal and vitreous hemorrhages were completely absorbed. Subretinal hemorrhage decreased significantly.

Key Words: Valsalva hemorrhagic retinopathy;Nose blowing