Macular hole secondary to Valsalva retinopathy after doing push-up exercise

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• 作者：Zheng-gao Xie (1) (2)
  Su-qin Yu (3)
  Xi Chen (1) (2)
  Jun Zhu (1) (2)
  Fang Chen (1) (2)
  
  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鈥檚 Hospital of Jiangsu Province ; No.98 ; Nantong West Road ; Yangzhou ; Jiangsu Province ; 225001 ; China
  3. Department of Ophthalmology ; the Affiated First People鈥檚 Hospital of Shanghai Jiao Tong University ; No.100 ; Haining Road ; Shanghai ; 200080 ; China
  
• 关键词：Optical coherence tomography ; Valsalva retinopathy ; Macular hole
• 刊名：BMC Ophthalmology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：6,394 KB
• 参考文献：1. Duane, TD (1972) Valsalva hemorrhagic retinopathy. Trans Am Ophthalmol Soc 70: pp. 298-313
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  12. Zou, M, Gao, S, Zhang, JJ, Zhang, M (2013) Persistent unsealed internal limiting membrane after Nd:YAG laser treatment for valsalva retinopathy. BMC Ophthalmol 13: pp. 15 CrossRef
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  16. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2415/14/98/prepub
  
• 刊物主题：Ophthalmology;
• 出版者：BioMed Central
• ISSN：1471-2415

文摘

Background Valsalva retinopathy and traumatic macular hole are common conditions, but macular hole secondary to Valsalva retinopathy is rarely reported. Case presentation 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. Conclusions 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.