A Motor Vehicle Accident Causing Valsalva Retinopathy OD, While Racing A Side By Side 4 Wheel Off-Road Vehicle

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File number: 53828

Comments

    1. John S. King, MD (May 26 2020)

      Thanks, will do.

    2. Suber S. Huang, MD, MBA, FASRS (May 26 2020)

      Great case John. Please consider amending the description of SxS to a side by side 4 wheel off-road vehicle. The Image Bank is used in all but 14 countries in the world. Seek to be as clear and descriptive as possible. Add a motor vehicle accident to keywords.

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    Image of the week
    Aug 9, 2020
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    Appears in
    A Motor Vehicle Accident Causing Valsalva Retinopathy OD While Racing A Side By Side 4 Wheel Off Road Vehicle
    Condition/keywords
    valsalva retinopathy
    Photographer
    Asli Ahmed
    Imaging device
    Fundus camera
    Topcon 50
    Description
    43-year-old white male who was injured while racing a side by side 4-wheel off-road vehicle (see Video: https://imagebank.asrs.org/file/53854/sxs-crash-during-a-race-causing-valsalva-retinopathy-od). He presented about three weeks after the injury. He was being seen by his local eye doctor who wanted an evaluation for the retinal heme and scotoma. His main complaint was a central/parcentral scotoma described as a greyish area in vision. Va 20/50 OD, nomotensive, no APD (by technician), anterior segment u/r; see picture for the fundus exam - of note there are superficial/preretinal heme, with layering of the heme superiorly, and small superficial heme at nasal edge of the optic disc; in the parafoveal region nasally there is some mottling of the RPE that may indicate an area of prior commotio retinae (also possible to have TON), which may account for his scotoma. Really bad accident (video), and amazingly, he had no LOC or injuries other than the right retina. Helmet and racing harness seat belt were used.

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