Revista Mexicana de Oftalmología

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VOLUME 93 , ISSUE 6E ( November-December, 2019 ) > List of Articles


Retinopathy of valsalva secondary to bulimia nervosa: revision of the treatment with laser Nd-YAG

Julia A. Fajardo-Sánchez, Pilar Rojas-Lozano, Carlos E. Chau-Ramos

Keywords : Valsalva Retinopathy, Sub internal limiting membrane hemorrhage, Nd-YAG laser, Membranotomy, Bulimia nervosa

Citation Information : Fajardo-Sánchez JA, Rojas-Lozano P, Chau-Ramos CE. Retinopathy of valsalva secondary to bulimia nervosa: revision of the treatment with laser Nd-YAG. 2019; 93 (6E):294-298.

DOI: 10.24875/RMOE.M19000090

License: CC BY-NC-ND 4.0

Published Online: 01-11-2019

Copyright Statement:  Copyright © 2017 Sociedad Mexicana de Oftalmología. Published by Permanyer México SA de CV.


19-year-old male under treatment for bulimia came for sudden decrease of the visual acuity (VA) of the left eye (LE) after an episode of severe vomit. The LE vision was of hand motion and the fundus showed a sub internal limiting membrane (subILM) hemorrhage of 14 disc diameters. We decided to use Nd-YAG laser on the membrane, obtaining the complete drainage of the hemorrhage and immediate recovery of the LE VA (20/20). Conclusion: Nd-YAG laser treatment is recommended for young and active patients in cases of sub-ILM hemorrhage in the context of Valsalva's retinopathy, due to its effective results and minimal risk.

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