title: Valsalva retinopathy associated with an oratorical contest.
abstract: A 17-year-old man presented to us with a chief complaint of decreased visual acuity accompanied by central scotoma. There was nothing unusual in his medical history other than a recent oratorical contest. At the time of initial diagnosis, the corrected visual acuity was 20/20 in the right eye and 20/100 in the left eye. No significant findings were apparent on ophthalmic evaluation. On fundoscopy, there was a dumbbell-shaped macular bleed with a well-defined margin in the left eye. The clinical course was closely monitored along with drug therapy. Four weeks post presentation, the pre-retinal hemorrhage had nearly resolved. On fluorescein angiography, no significant findings were observed. In the left eye, the corrected visual acuity had improved to 20/25. Valsalva retinopathy is a pathology that occurs when a sudden increase in intra-thoracic pressure or abdominal pressure occurs in an otherwise healthy person. Here we report a case of Valsalva retinopathy occurring following an oratorical contest along with a review of the relevant literature.
authors.affiliation: Department of Ophthalmology, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, #162 Ilsan-dong, Wonju, Korea.
authors.forename: Ju-Young
authors.initials: JY
authors.lastname: Kim
authors.forename: Dong-Hoon
authors.initials: DH
authors.lastname: Lee
authors.forename: Jong-Hyuck
authors.initials: JH
authors.lastname: Lee
authors.forename: Ie-Na
authors.initials: IeN
authors.lastname: Yoon
mesh_terms: D000293:Adolescent; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009146:Music; D012075:Remission, Spontaneous; D012164:Retinal Diseases / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence; D014636:Valsalva Maneuver; D014792:Visual Acuity