title: Valsalva-like retinopathy spontaneously occurred after ocular massage.
abstract: OBJECTIVE
  The aim of this study is to describe a case of Valsalva-like retinopathy that occurred after ocular massage.
  
  
  METHODS
  A healthy 44-year-old Japanese female had massaged her eye with strong pressure several times. Subsequently, she noticed a loss in the left central vision. A left-eye fundus examination showed a dense preretinal hemorrhage located under the internal limiting membrane at the posterior pole and a mild vitreous hemorrhage. We performed a neodymium-doped yttrium-aluminium-garnet laser membranotomy to perforate the internal limiting membrane. Her best-corrected visual acuity improved from 0.01 to 1.0. No retinal vascular abnormalities in the macular area were found.
  
  
  CONCLUSIONS
  Ocular massage can cause Valsalva-like retinopathy.
authors: Department of Ophthalmology, Aichi Medical University, Nagakute, Japan.
authors: Keiko
authors: K
authors: Uchida
authors: Department of Ophthalmology, Aichi Medical University, Nagakute, Japan.
authors: Masayuki
authors: M
authors: Takeyama
authors: Department of Ophthalmology, Aichi Medical University, Nagakute, Japan.
authors: Masahiro
authors: M
authors: Zako
keywords: Neodymium-doped yttrium-aluminium-garnet laser membranotomy; Ocular massage; Valsalva-like retinopathy