Valsalva retinopathy in a teenager treated with Nd:YAG laser posterior hyaloidotomy
Omar Mahmoud Solyman, Ahmed Abdelfatah Ghalwash
Corresponding author: Omar Mahmoud Solyman, Research Institute of Ophthalmology, Giza, Egypt 
Received: 28 Jan 2021 - Accepted: 01 Feb 2021 - Published: 12 Feb 2021
Domain: Ophthalmology
Keywords: Valsalva retinopathy, subhyaloid hemorrhage, Nd:YAG laser
©Omar Mahmoud Solyman et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Omar Mahmoud Solyman et al. Valsalva retinopathy in a teenager treated with Nd:YAG laser posterior hyaloidotomy. Pan African Medical Journal. 2021;38:161. [doi: 10.11604/pamj.2021.38.161.28100]
Available online at: https://www.panafrican-med-journal.com/content/article/38/161/full
Images in clinical medicine 
Valsalva retinopathy in a teenager treated with Nd:YAG laser posterior hyaloidotomy
Valsalva retinopathy in a teenager treated with Nd:YAG laser posterior hyaloidotomy
Omar Mahmoud Solyman1,&, Ahmed Abdelfatah Ghalwash1
&Corresponding author
A 14-year-old otherwise healthy male patient presented with acute left loss of vision for 3 hours following weightlifting. Examination showed dense pre-macular sub-hyaloid hemorrhage (A). The patient and his parents did not like to wait for gradual spontaneous resolution of the hemorrhage. Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser posterior hyaloidotomy was performed with quick drainage of blood into the vitreous cavity (B, C, D). He maintained stable vision and retinal exam over 20 months of follow-up. Valsalva retinopathy can affect pediatric as well as adult age groups. Nd:YAG laser posterior hyaloidotomy is minimally invasive and safe procedure that provides rapid visual rehabilitation in cooperative patients.
Figure 1: A) left elevated dome-like dense collection of pre-macular sub-hyaloid hemorrhage; B, C) quick egress of blood from posterior hyaloidotomy to the vitreous cavity one and two hours after Nd:YAG laser procedure respectively; D) near complete resolution of premacular hemorrhage on follow-up three days after procedure
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