title: Postcoital visual loss due to valsalva retinopathy.
abstract: A 29-year-old male patient presented to eye emergency clinic after noticing a left paracentral scotoma on waking. On direct questioning the patient revealed an episode of vigorous sexual intercourse the preceding evening. During orgasm the valsalva manoeuvre can produce a sudden increase in retinal venous pressure resulting in vessel rupture and haemorrhagic retinopathy. Valsalva retinopathy is managed conservatively and the patient's symptoms resolved spontaneously without intervention. This case report highlights the importance of focused history taking of patients which can thereby obviate the need for further investigations. This case also emphasises the importance of considering sexual activity as a cause of stress-induced pathology.
authors.affiliation: University Hospital Southampton, Southampton, UK.
authors.forename: Luke
authors.initials: L
authors.lastname: Michaels
authors.affiliation: Princess Alexandra Eye Pavilion, Edinburgh, UK.
authors.forename: Naing Latt
authors.initials: NL
authors.lastname: Tint
authors.affiliation: University Hospital Southampton, Southampton, UK.
authors.forename: Philip
authors.initials: P
authors.lastname: Alexander
mesh_terms: D000328:Adult; D003075:Coitus; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D012166:Retinal Hemorrhage / Q000150:complications*; D012607:Scotoma / Q000150:complications*; D014636:Valsalva Maneuver