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.