First Author: L.Vieira PORTUGAL
Co Author(s): A. Cabugueira N. Silva B. Borges L. Lima P. Afonso R. Flores 0 0 0 0 0 0 0 0 0
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To describe a case of a Valsalva retinopathy in pregnancy, treated with YAG Laser.
Centro Hospitalar Lisboa Central
A complete ophthalmic and systemic evaluation was performed on a 37 week pregnant patient who was admitted to the Emergency Room with an unilateral visual acuity (VA) decrease.
We describe a case of unilateral sudden and painless VA decrease in a 37 weeks pregnant woman, who had concomitant upper respiratory symptoms. VA was 10/10 in the right eye and counting fingers in the left eye. The fundus examination showed a sub-internal limiting membrane haemorrhage at the macula. Blood pressure, blood count, glucose, coagulation studies, transaminases and urinalysis showed no alterations. A clinical diagnosis of Valsalva retinopathy was done with subsequent treatment with photocoagulation Nd : YAG - laser. After 1 month of follow-up, VA in the left eye was 10/10.
Valsava retinopathy diagnosis must be done carefully in pregnancy as other serious diseases must be ruled out. YAG laser is an effective therapeutic option and allows rapid recovery of visual acuity.