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.
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.
Tariq Khan M. Nd: YAG laser treatment for Valsalva premacular hemorrhages: 6 month follow up. Int Ophthalmol. 2008;28:325-7.
Duane TD. Valsalva hemorrhagic retinopathy. Am J Ophthalmol. 1973;75:637-42.
Liu Z, Pan X, Bi H. Treatment of Valsalva Retinopathy. Optom Vis Sci. 2014;91(11):e278-81.
Mathew D, Sarma S. Valsalva retinopathy with double ring sign: laser membranotomy for twin bleeds. Saudi J Ophthalmol. 2016;30:68-70.
Cheung CM. Post-chemotherapy premacular subhyaloid haemorrhage. Eye. 2003;17:97-9.
Meyer CH, Mennel S, Rodrigues EB, Schmidt JC. Is the location of Valsalva hemorrhages submembranous or subhyaloidal? Am J Ophthalmol. 2006;141(1):231.
Tirhis H. Argon Green Laser for valsalva retinopathy treatment and longterm follow up of the internal limiting membrane changes in optical coherence tomography. Korean J Ophthalmol, 2015;29 (6):437-8.
Kuruvilla O. NdYAG membranotomy for preretinal hemorrhage secondary to valsalva retinopathy. Saudi J Ophthalmol. 2014;(28):145-51.
Duane TD. Valsalva hemorrhagic retinopathy. Trans Am Ophthalmol Soc. 1972;70:298-313.
De Maeyer K, Van Ginderdeuren R, Postelmans L, Stalmans P, Van Calster J. Sub-inner limiting membrane haemorrhage: causes and treatment with vitrectomy. Br J Ophthalmol. 2007;91:869-72.
Gibran SK, Kenawy M, Wong D, Hiscott P. Changes in the retinal inner limiting membrane associated wih Valsalva retinopathy. Br J Ophthalmol. 2007;91(5):701-2.
García Fernandez M. Long Term evolution of Valsalva retinopathy: a case series. J Med Case Rep. 2012;6:346.
Faulborn J. Behandlung einer diabetischen pramakulares Blutung mit dem Q switched Neodym: YAG laser. Spektrum Augenheilkd. 1988;2:33-5.
Gabel VP. Nd: YAG laser photodisruption of hemorrhagic detachment of the internal limiting membrane. Am J Ophthalmol. 1989;107:33-7.
Ulbig MW. Long-term results after drainage of premacular subhyaloid hemorrhage into the vitreous with a pulsed Nd: YAG laser. Arch Ophthalmol. 1998;116:1465-9.
Durukan AH. Long term results of Nd: YAG laser treatment for premacular subhyaloid haemorrhage owing to valsalva retinopathy. Eye. 2008;22:214-8.
Sabella P, Bottoni F, Staurenghi G. Spectral domain OCT evaluation of NdYAG laser treatment for Valsalva retinopathy. Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Für Klin Exp Ophthalmol. 2010;248:599-601
