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Valsalva retinopathy induced by labour.

A Ladjimi, S Zaouali, R Messaoud, S Ben Yahia, S Attia, S Jenzri, M Khairallah
European Journal of Ophthalmology 2002 July
PURPOSE: To describe a patient with Valsalva retinopathy induced by labour.

METHODS: Case report.

RESULTS: A 29-year-old woman at her second pregnancy complained of a sudden loss of vision in her left eye during spontaneous labour. Visual acuity was reduced to counting fingers. Funduscopy revealed a large preretinal hemorrhage at the macula in the left eye. Three weeks after delivery, the hematoma was treated with Nd:YAG laser. Two weeks after treatment, visual acuity was 20/20 and the premacular hemorrhage had resolved.

CONCLUSIONS: A rise in intra-abdominal pressure during labour may result in Valsalva retinopathy. Nd:YAG laser may be useful in treating such hemorrhage.

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