Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Valsalva retinopathy in pregnancy: a case report | Journal of Medical Case Reports BioMed Central Case report Valsalva retinopathy in pregnancy a case report Abdullah S Al-Mujaini and Carolina C Montanat Open Access Address Department of Ophthalmology Sultan Qaboos University Hospital Alkhod Muscat Sultanate of Oman Email Abdullah S Al-Mujaini - mujainisqu@ Carolina C Montana - caro_montana@ Corresponding author fEqual contributors Published 7 April 2008 Received 4 November 2007 Journal of Medical Case Reports 2008 2 101 doi 1752-1947-2-101 Accepted 7 April 2008 This article is available from http content 2 1 101 2008 Al-Mujaini and Montana licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Valsalva retinopathy is a unilateral or bilateral condition that occurs when increased intra-thoracic or intra-abdominal pressure transmitted to the eye causes a sharp rise in the intraocular venous pressure and rupture of superficial retinal capillaries. The patient often gives a history of a recent strenuous physical act which could have increased the intra-thoracic pressure. Pregnancy is known to be a risk factor for Valsalva retinopathy. Case presentation A 23-year-old woman in her seventh month of pregnancy presented with a history of decreased vision in her left eye of one-week duration. Examination of the affected eye showed best corrected visual acuity of 20 50 and fundus examination revealed a pre-retinal hemorrhage located in the macula. Based on clinical findings the diagnosis of Valsalva retinopathy was made. Conclusion Retinal hemorrhages can be generated by Valsalva maneuvers. Pregnancy is a known risk factor for Valsalva retinopathy however the diagnosis should be made only after excluding other .
