Valsalva retinopathy induced by labour.
OBJECTIVE
To describe a patient with Valsalva retinopathy induced by labour.


METHODS
Case report.


RESULTS
A 29-year-old woman at her second pregnancy complained of a sudden loss of vision in her left eye during spontaneous labour. Visual acuity was reduced to counting fingers. Funduscopy revealed a large preretinal hemorrhage at the macula in the left eye. Three weeks after delivery, the hematoma was treated with Nd:YAG laser. Two weeks after treatment, visual acuity was 20/20 and the premacular hemorrhage had resolved.


CONCLUSIONS
A rise in intra-abdominal pressure during labour may result in Valsalva retinopathy. Nd:YAG laser may be useful in treating such hemorrhage.
Ladjimi
A
A
Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia. ahmed.ladjimi@rns.tn
Zaouali
S
S
Messaoud
R
R
Ben Yahia
S
S
Attia
S
S
Jenzri
S
S
Khairallah
M
M
D000328:Adult; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D007744:Obstetric Labor Complications; D019721:Ophthalmoscopes; D011247:Pregnancy; D012166:Retinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D014636:Valsalva Maneuver; D014792:Visual Acuity