Valsalva Retinopathy Associated With an Oratorical Contest.
10.3341/kjo.2009.23.4.318
- Author:
Ju Young KIM
1
;
Dong Hoon LEE
;
Jong Hyuck LEE
;
Ie Na YOON
Author Information
1. Department of Ophthalmology, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea. bswhitey@hanmail.net
- Publication Type:Case Report
- Keywords:
Oratorical contest;
Valsalva retinopathy
- MeSH:
Adolescent;
Fluorescein Angiography;
Follow-Up Studies;
Humans;
Male;
*Music;
Remission, Spontaneous;
Retinal Diseases/diagnosis/*etiology;
Tomography, Optical Coherence;
*Valsalva Maneuver;
Visual Acuity
- From:Korean Journal of Ophthalmology
2009;23(4):318-320
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 17-year-old man presented to us with a chief complaint of decreased visual acuity accompanied by central scotoma. There was nothing unusual in his medical history other than a recent oratorical contest. At the time of initial diagnosis, the corrected visual acuity was 20/20 in the right eye and 20/100 in the left eye. No significant findings were apparent on ophthalmic evaluation. On fundoscopy, there was a dumbbell-shaped macular bleed with a well-defined margin in the left eye. The clinical course was closely monitored along with drug therapy. Four weeks post presentation, the pre-retinal hemorrhage had nearly resolved. On fluorescein angiography, no significant findings were observed. In the left eye, the corrected visual acuity had improved to 20/25. Valsalva retinopathy is a pathology that occurs when a sudden increase in intra-thoracic pressure or abdominal pressure occurs in an otherwise healthy person. Here we report a case of Valsalva retinopathy occurring following an oratorical contest along with a review of the relevant literature.
