Macular hole secondary to Valsalva retinopathy after doing push-up exercise
1 Department of Ophthalmology, Clinical Medical College of Yangzhou University, No.98, Nantong West Road, Yangzhou, Jiangsu Province 225001, China
2 Department of Ophthalmology, Subei People’s Hospital of Jiangsu Province, No.98, Nantong West Road, Yangzhou, Jiangsu Province 225001, China
3 Department of Ophthalmology, the Affiated First People’s Hospital of Shanghai Jiao Tong University, No.100, Haining Road, Shanghai 200080, China
BMC Ophthalmology 2014, 14:98 doi:10.1186/1471-2415-14-98Published: 12 August 2014
Valsalva retinopathy and traumatic macular hole are common conditions, but macular hole secondary to Valsalva retinopathy is rarely reported.
A 34-year-old healthy man suffered Valsalva retinopathy after doing push-up exercise. During his follow-up visits, the best-corrected visual acuity (BCVA) measurements, fundus examinations and spectral-domain optical coherence tomography (SD-OCT) tests were performed. Three months later, the premacular hemorrhage was noticeably absorbed with an improvement of visual acuity. SD-OCT showed a lamellar macular hole with intact but thickened internal limiting membrane (ILM) with vitreal tractions on surface of the macular. Nine months after the first visit, his vision acuity was 20/25. The fundus examination showed a complete absorption of the macular hemorrhage. SD-OCT showed that the lamellar macular hole has enlarged, with thickened ILM on the surface. Seventeen months after the onset, the BCVA, fundus examination results and OCT findings were stable.
Macular hole secondary to Valsalva retinopathy had been rarely reported and its mechanism needs further understanding. SD-OCT can be used to observe the evolvement of Valsalva retinopathy.