Retrohyaloidal Macular Hemorrhage Following a Valsalva Manoeuvre: Case Report and Review of Literature

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M. Essakhi
I. Er-rachik
I. Adnane
A. Mchachi
L. Benhmidoune
M. Chakib
R. Rachid
M. Elbelhadji


A pre-retinal haemorrhage can complicate several pathologies including Valsalva retinopathy. It can cause symptomatic visual disturbances that lead the patient to seek medical attention. We report the case of a 39-year-old patient, with no particular pathological history, who has a sudden drop in visual acuity in her right eye. This symptomatology appeared a few minutes after defecation following constipation. The ophthalmological examination found a corrected visual acuity in the right eye that was quantified by counting the fingers at close range. The fundus revealed a macular haemorrhage suspended in a pigeon's nest. The diagnosis of spontaneous right retrohyaloidal haemorrhage secondary to cephalic venous hyper pressure was retained. A Yag laser membranotomy was performed at a distance from the fovea. The evolution was favourable with an increase in visual acuity to 6/10. The main aetiology of retrohyaloidal haemorrhages is rarely venous cephalic hypertension. However, Valsalva's retinopathy should always be considered in case of effort with chest blockage in inspiration.

Retro-hyaloidal haemorrhage, macula, valsalva retinopathy, membranotomy, Nd: YAG laser.

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Essakhi, M., Er-rachik, I., Adnane, I., Mchachi, A., Benhmidoune, L., Chakib, M., Rachid, R., & Elbelhadji, M. (2020). Retrohyaloidal Macular Hemorrhage Following a Valsalva Manoeuvre: Case Report and Review of Literature. Asian Journal of Research and Reports in Ophthalmology, 2(1), 1-6. Retrieved from
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