Imran Akram, Amjad Akram.
Valsalva Maculopathy.
Pak J Ophthalmol Jan ;16(4):170-1.

A 32-year-old man presented to the eye casualty with a 6-day history of sudden painless blurring of central vision in the left eye. There was no history of trauma. His general health was good. A week earlier, however, he had been suffering from gastroenteritis during which he had several bouts of projectile vomiting. During recovery from gastroenteritis he had noticed blurred vision in the left eye. On examination his visual acuity was right 6/6 and left 6/60 improving to 6/24 with pinhole. Anterior segments were unremarkable. Fundus examination of the left eye showed a vertically oval macular haemorrhage about 1/3rd of a disc diameter in size. This was roughly centered around the fovea. The remainder of the fundus was unremarkable. A Fundus Fluorescein Angiogram (FFA) was done and it showed masking corresponding to the haemorrhage but no other vascular pathology. The patient`s blood pressure was normal and blood tests for glucose and clotting profile were also normal. The patient was followed-up in outpatients department. At 3 weeks the vision had improved to 6/18 and at 8 weeks visual acuity was back to 6/6 unaided and the haemorrhage had resolved uneventfully.

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