We describe a 27-year-old gentleman who presented with sudden loss of left vision after a football match. As there was no improvement with previous treatment, he was referred to us for second opinion three weeks after initial presentation. Examination showed a quiet left eye with large whitish lesion with fluid level in the macula. It posed a dilemma in diagnosis as possibility of infectious cause could not be ruled out.Pars plana vitrectomy with vitreous biopsy was done and it showed old organised blood from premacular haemorrhage resulted from valsalva retinopathy.
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