Open AccessA case of air pollution-induced Valsalva retinopathy
Author(s) -
Yii Hern Eng,
Ing Hong Lim
Publication year - 2021
Publication title -
malaysian journal of ophthalmology
Language(s) - English
Resource type - Journals
eISSN - 2665-9565
pISSN - 2665-9557
DOI - 10.35119/myjo.v3i2.182
Subject(s) - vitrectomy , pars plana , medicine , retinopathy , ophthalmology , conservative management , valsalva maneuver , visual acuity , diabetic retinopathy , fundus (uterus) , surgery , diabetes mellitus , blood pressure , endocrinology
This is a case of Valsalva retinopathy during the season of annual transboundary haze pollution in Sarawak. A 22-year-old man with no known medical illness developed sudden onset of painless visual acuity loss preceded by persistent cough. Left eye fundus showed dense preretinal haemorrhage covering optic disc extendinginferiorly with breakthrough vitreous haemorrhage. The patient underwent pars plana vitrectomy, endolaser, and fluid gas exchange in view of persistent dense vitreous haemorrhage after a month of conservative management. In conclusion, pars plana vitrectomy can be considered as a safe and effective treatment option for patients with Valsalva retinopathy developing extensive premacular haemorrhage.