title: [Sub-internal limiting membrane hemorrhage in Valsalva retinopathy: case report].
abstract: To report a case of a patient with Valsalva retinopathy that developed sub-internal limiting membrane hemorrhage, underwent pars plana vitrectomy and had visual acuity improvement after that. A 35-year-old healthy patient presented with sudden and painless vision loss of her right eye, after coughing. During the ophthalmologic evaluation, she had a pre-macular hemorrhage and no other abnormalities. Initially, we chose for expectant management, but the hemorrhage did not clear totally. Thus, pars plana vitrectomy associated with internal limiting membrane peeling was indicated, with considerable improvement of her visual acuity, without perioperative complications or significant findings in the optical coherence tomography, autofluorescence and multifocal electroretinogram. In this case, sub-internal limiting membrane hemorrhage treatment with vitreoretinal surgery was relatively useful, with visual acuity improvement and resolution of sub-internal limiting membrane hemorrhage.
authors.affiliation: Clínica Oftalmológica, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo - USP, São Paulo, SP, Brasil. mmlavezzo@gmail.com
authors.forename: Marcelo Mendes
authors.initials: MM
authors.lastname: Lavezzo
authors.forename: Leandro Cabral
authors.initials: LC
authors.lastname: Zacharias
authors.forename: Walter Yukihiko
authors.initials: WY
authors.lastname: Takahashi
mesh_terms: D000328:Adult; D001485:Basement Membrane / Q000601:surgery; D003371:Cough / Q000150:complications*; D004596:Electroretinography; D005260:Female; D006801:Humans; D012166:Retinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D041623:Tomography, Optical Coherence; D014636:Valsalva Maneuver; D014792:Visual Acuity; D014821:Vitrectomy