DOI: 10.36347/sjmcr.2020.v08i02.043

Pages: 254-257

Introduction: Valsalva retinopathy is a rupture of vessels retinas during a physical exertion performed at closed glottis. It is linked to a sudden increase in intra-thoracic or intra-abdominal pressure. Materials and Methods: This is an elderly patient 27 years old, with no pathological history, who consult for a sudden visual acuity decrease in both eyes post oesogastroduodenal fibroscopy. The fundus revealed hemorrhages retinniene and pre - macular of both eyes. Fluorescein angiography showed no abnormality of retinal vessels. Macular OCT is normal. Discussion: Valsalva retinopathy usually occurs in healthy adults it has been reported after aerobic exercise, vigorous sexual activity, swelling balloons, prostate, dental surgery, episodes of constipation, vomiting and uprisings in pregnant women. After weightlifting, endotracheal intubation, vomiting, coughing with force, colonoscopy procedure, and in rare cases after upper gastrointestinal endoscopy. Valsalva-induced preretinal hemorrhage generally present in the macula. In case of macular damage, Valsalva retinopathy may cause a sudden decrease in vision. As a general rule, the visual prognosis is favorable usually, it is impossible to clinically distinguish the plan from premacular hemorrhage, sub-hyaloid ... From where the interest of fluoride angiography and macular OCT. In case of sudden loss of vision during a diagnostic procedure, the doctor may time and effort to try to determine the cause. If Valsalva maneuver is noted in the story, however, valsalva retinopathy should be considered as a possible explanation for vision loss. The evolution of retinopathy of Valsalva is most often spontaneously favorable. Nd - yag laser or vitrectomy are only performed in case of persistence of the hematoma because of risk of retinal toxicity. Conclusion: Retinopathy of valsalva is a rare condition with a good prognosis; its diagnosis is based on the clinical history. It does not require recourse physical or surgical treat