title: Valsalva retinopathy induced by labour.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Fattouma Bourguiba University Hospital, Monastir, Tunisia. ahmed.ladjimi@rns.tn
authors.forename: A
authors.initials: A
authors.lastname: Ladjimi
authors.forename: S
authors.initials: S
authors.lastname: Zaouali
authors.forename: R
authors.initials: R
authors.lastname: Messaoud
authors.forename: S
authors.initials: S
authors.lastname: Ben Yahia
authors.forename: S
authors.initials: S
authors.lastname: Attia
authors.forename: S
authors.initials: S
authors.lastname: Jenzri
authors.forename: M
authors.initials: M
authors.lastname: Khairallah
mesh_terms: 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