Valsalva retinopathy was described as a particular form of retinopathy, pre-retinal and subinternal limiting membrane haemorrhages in nature that rarely may break through and become subhyloid or intravitreal, secondar...Valsalva retinopathy was described as a particular form of retinopathy, pre-retinal and subinternal limiting membrane haemorrhages in nature that rarely may break through and become subhyloid or intravitreal, secondary to a sudden increase in intrathoracic pressure. We reported a new way that Nd:YAG laser for ILM hyaloidotomy in order to drain the sub-ILM blood into vitreous cavity combined with intravitreal bevacizumab to improve the absorption of blood. Therapeutic alliance make significant outcome, protecting vision in time. We used spectralis OCT to observe sub-ILM mix cells and special ILM structure in this lesion for the first time, as the spectralis OCT can reach histology level imagination.展开更多
目的探讨Nd：YAG激光内界膜切开治疗Valsalva视网膜病变的安全性与有效性。方法总结Valsalva视网膜病变接受治疗的10例10眼的临床资料进行回顾分析,所有患者均行Nd：YAG激光内界膜切开术,激光初始能量为3.0~4.8 m J。观察记录患者术前...目的探讨Nd：YAG激光内界膜切开治疗Valsalva视网膜病变的安全性与有效性。方法总结Valsalva视网膜病变接受治疗的10例10眼的临床资料进行回顾分析,所有患者均行Nd：YAG激光内界膜切开术,激光初始能量为3.0~4.8 m J。观察记录患者术前术后视力,眼压及眼底情况。结果患眼视力由术前的手动（6例）或指数（4例）提高到术后第1天的0.1~0.5,最后视力稳定在0.8~1.2。随诊期间眼压稳定,未发现并发症。结论 Nd：YAG激光内界膜切开治疗Valsalva视网膜病变是安全有效的方法。展开更多
Valsalva retinopathy is caused by a sudden increase in intra-thoracic or abdominal pressure, following forced expiration, with mouth and nose closed (Valsalva maneuver). We report a case of Valsalva retinopathy in a p...Valsalva retinopathy is caused by a sudden increase in intra-thoracic or abdominal pressure, following forced expiration, with mouth and nose closed (Valsalva maneuver). We report a case of Valsalva retinopathy in a pregnant woman. A 36 years old patient, pregnant at 24 weeks of amenorrhea, who consulted for sudden visual acuity decrease of the left eye, evolving since 24 hours after Valsalva maneuvers to calm down her panic and control her breathing. The refraction has demonstrated a decrease of visual acuity in the left eye to “can see a hand moving”, while the visual acuity remained normal in the right eye. Spontaneous evolution was marked by a fast and progressive reduction of hemorrhage and progressive recovery of vision in the left eye. Valsava retinopathy was first described in 1972 by Thomas Duane. Physical activity is usually found before it occurs. Many situations are usually associated to this occurrence among which: pregnancy, vomiting, weightlifting or trauma. Regression of this hemorrhage without sequelae is usual. But sometimes, we need a Nd:Yag laser treatment or surgery to evacuate the blood.展开更多
文摘Valsalva retinopathy was described as a particular form of retinopathy, pre-retinal and subinternal limiting membrane haemorrhages in nature that rarely may break through and become subhyloid or intravitreal, secondary to a sudden increase in intrathoracic pressure. We reported a new way that Nd:YAG laser for ILM hyaloidotomy in order to drain the sub-ILM blood into vitreous cavity combined with intravitreal bevacizumab to improve the absorption of blood. Therapeutic alliance make significant outcome, protecting vision in time. We used spectralis OCT to observe sub-ILM mix cells and special ILM structure in this lesion for the first time, as the spectralis OCT can reach histology level imagination.
文摘目的探讨Nd：YAG激光内界膜切开治疗Valsalva视网膜病变的安全性与有效性。方法总结Valsalva视网膜病变接受治疗的10例10眼的临床资料进行回顾分析,所有患者均行Nd：YAG激光内界膜切开术,激光初始能量为3.0~4.8 m J。观察记录患者术前术后视力,眼压及眼底情况。结果患眼视力由术前的手动（6例）或指数（4例）提高到术后第1天的0.1~0.5,最后视力稳定在0.8~1.2。随诊期间眼压稳定,未发现并发症。结论 Nd：YAG激光内界膜切开治疗Valsalva视网膜病变是安全有效的方法。
文摘Valsalva retinopathy is caused by a sudden increase in intra-thoracic or abdominal pressure, following forced expiration, with mouth and nose closed (Valsalva maneuver). We report a case of Valsalva retinopathy in a pregnant woman. A 36 years old patient, pregnant at 24 weeks of amenorrhea, who consulted for sudden visual acuity decrease of the left eye, evolving since 24 hours after Valsalva maneuvers to calm down her panic and control her breathing. The refraction has demonstrated a decrease of visual acuity in the left eye to “can see a hand moving”, while the visual acuity remained normal in the right eye. Spontaneous evolution was marked by a fast and progressive reduction of hemorrhage and progressive recovery of vision in the left eye. Valsava retinopathy was first described in 1972 by Thomas Duane. Physical activity is usually found before it occurs. Many situations are usually associated to this occurrence among which: pregnancy, vomiting, weightlifting or trauma. Regression of this hemorrhage without sequelae is usual. But sometimes, we need a Nd:Yag laser treatment or surgery to evacuate the blood.
