Two Cases of Valsalva Retinopathy Treated with Nd:YAG Laser Hyaloidotomy
Suzane Vassallo, PhD AOBR 1,2
Catherine Mancuso, BOrth AOBR 2
C. Alex Harper, FRANZCO 2,3
1 Department of Clinical Vision Sciences, La Trobe University, Melbourne, Australia
2 Victoria Parade Eye Consultants, St. Vincent’s Medical Centre, Melbourne, Australia
3 Centre for Eye Research Australia, Melbourne, Australia
Activities involving straining can result in a haemorrhagic retinopathy which may cause sudden loss of vision. This is known as Valsalva retinopathy. Though the fundus findings can vary, a premacular haemorrhage is often seen which may resolve spontaneously over several months. Acute management of such cases can be achieved via neodymium (Nd):YAG laser hyaloidotomy. Even in the presence of a large haemorrhage the prognosis is excellent in an otherwise healthy eye. Two cases of Valsalva retinopathy are presented.