Valsalva retinopathy during end stage labour:considerations for treatment (a case report)
- VernacularTitle:分娩所致Valsalva视网膜病变治疗方法的探讨
- Author:
Konstantinos I PAPAGEORGIOU
;
Rashmi G MATHEW
;
Alexanoer S IOANNIDIS
;
Ajay, SINHA
;
Petros S ANDREOU
- Publication Type:Journal Article
- Keywords:
valsalva retinopathy;
pregnant woman;
conservtire treatment
- From:
International Eye Science
2007;7(3):621-622
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To discuss the options for treatment (conservative versus surgical) in cases of Valsalva Retinopathy, reported during pregnancy.METHODS:We report the case of a healthy pregnant woman, who developed a dense premacular subhyaloid haemorrhage, in the right eye following a normal spontaneous vaginal delivery. She was managed conservatively.RESULTS: At 3 weeks the haemorrhage had contracted and the vision was HM but by the 6th month, the haemorrhage had resolved and vision returned to 6/5 in the right eye.CONCLUSION: Most cases of Valsalva retinopathy resolve spontaneously. Authors have shown the beneficial effect of Nd:YAG membranotomy of the internal limiting membrane.Early vitrectorny has also been advocated, as it delaminates the membrane which can act a scaffold for neovascularization.