Valsalva maneuver induced vitreous hemorrhage.

Abstract

BACKGROUND:

A 43 year old male who performed a severe and sustained Valsalva maneuver developed a vitreous hemorrhage that was suspected as originating from an optic nerve vessel. Valsalva hemorrhagic retinopathy is not a common ocular finding and a breakthrough into the vitreous is even more uncommon. The vitreous hemorrhage cleared with recovery of previous acuity levels and a residua of small areas of fibrosis in the inferior vitreous. A discussion of the physiology of the Valsalva maneuver and of possible ocular and nonocular complications is presented. There is also a discussion of how this maneuver is used in the diagnosis of orbital diseases.

CONCLUSION:

In this case a vitreous hemorrhage was induced by a marked and sustained Valsalva maneuver which resolved without significant sequelae. The Valsalva maneuver is capable of causing many ocular complications; it is important to advise patients about the potential side effects of this maneuver.

• Authors: W L Jones
• Journal: Journal of the American Optometric Association (J Am Optom Assoc) Vol. 66 Issue 5 Pg. 301-4 (May 1995) ISSN: 0003-0244 [Print] United States
• PMID: 7629371 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Fundus Oculi
• Humans
• Male
• Ultrasonography
• Valsalva Maneuver
• Visual Acuity
• Vitreous Hemorrhage (diagnostic imaging, etiology, physiopathology)