Background: Valsalva retinopathy and traumatic macular hole are common conditions, but macular hole secondary\nto Valsalva retinopathy is rarely reported.\nCase presentation: A 34-year-old healthy man suffered Valsalva retinopathy after doing push-up exercise. During his\nfollow-up visits, the best-corrected visual acuity (BCVA) measurements, fundus examinations and spectral-domain\noptical coherence tomography (SD-OCT) tests were performed. Three months later, the premacular hemorrhage was\nnoticeably absorbed with an improvement of visual acuity. SD-OCT showed a lamellar macular hole with intact but\nthickened internal limiting membrane (ILM) with vitreal tractions on surface of the macular. Nine months after the first\nvisit, his vision acuity was 20/25. The fundus examination showed a complete absorption of the macular hemorrhage.\nSD-OCT showed that the lamellar macular hole has enlarged, with thickened ILM on the surface. Seventeen months\nafter the onset, the BCVA, fundus examination results and OCT findings were stable.\nConclusions: Macular hole secondary to Valsalva retinopathy had been rarely reported and its mechanism needs\nfurther understanding. SD-OCT can be used to observe the evolvement of Valsalva retinopathy.
Loading....