Valsalva Retinopathy Associated With COVID-19: Diagnosis and Surgical Management.

Autor: Han W; Undergraduate, College of Biological Sciences, University of California, Davis, CA, USA., Adrean SD; Retina Consultants of Orange County, Fullerton, CA, USA.
Jazyk: angličtina
Zdroj: Journal of vitreoretinal diseases [J Vitreoretin Dis] 2023 May 03; Vol. 7 (5), pp. 444-447. Date of Electronic Publication: 2023 May 03 (Print Publication: 2023).
DOI: 10.1177/24741264231167698
Abstrakt: Purpose: To report a case of severe Valsalva retinopathy secondary to intense coughing and vomiting as symptoms of COVID-19 and describe the presentation, diagnosis, and surgical management. Methods: The patient's subjective findings, examination, fundus photography, optical coherence tomography (OCT) examinations, and laboratory results were used to diagnose the patient. Results: Surgical management was required to remove a vitreous hemorrhage (VH) and a sub-internal limiting membrane (sub-ILM) hemorrhage. Another foveal hemorrhage was determined to be intraretinal with intraoperative OCT. The patient's visual acuity improved from hand motions to 20/20 OD at postoperative week 6. Conclusions: The related COVID-19 symptoms of severe coughing and vomiting led to the Valsalva retinopathy. The VH and sub-ILM hemorrhage were successfully removed surgically. On intraoperative OCT, a foveal hemorrhage was determined to be intraretinal; thus, the decision was made to monitor it and allow it to resolve over time.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2023.)
Databáze: MEDLINE