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By Giriraj Vibhute
Co-author(s): Dr Vani S, Srinivas Joshi, Apoorva Ayachit - Uploaded on Aug 31, 2025.
- Last modified by Joshua Friedman on Sep 3, 2025.
- Rating
- Appears in
- Miscellaneous
- Condition/keywords
- valsalva retinopathy, YAG HYALOIDOTOMY
- Photographer
- Dr Vani S. MM Joshi eye institute, Hubli
- Imaging device
- Fundus camera
- Description
- A 24-year-old young man presented with sudden loss of vision in left eye following history of rigorous coughing. Visual acuity in RE was 6/6, LE was 6/60p. Fundoscopy showed bilateral multiple small intraretinal hemorrhages with LE large premacular subhyaloid hemorrhage just covering the fovea suggestive of bilateral valsalva retinopathy changes. Nd:YAG laser hyaloidotomy was performed to left eye the same day (A250; 2mJ;6 SHOTS). Visual acuity improved to 6/9 immediately following the procedure. After 1 week, the subhyaloid hemorrhage had completely cleared with dispersed intragel hemorrhage in the inferior vitreous cavity with visual acuity of 6/6 in left eye