Schipper I
Augenklinik des Kantonsspitals Luzern.
Klin Monbl Augenheilkd. 1991 May;198(5):457-9. doi: 10.1055/s-2008-1046010.
Five cases are being discussed here, where an apparently harmless Valsalva manoeuvre caused different clinical manifestations in the eyes: a large central preretinal hemorrhage, diffuse retinal hemorrhages, a Purtscher retinopathy and a blindness associated with a haematoma of the upper and lower lid of the right eye, probably caused by bleeding in the sheeths of the optic nerve. It is important to note that a Valsalva manoeuvre can cause different manifestations in the eye, apart from the known small premacular haemorrhage. Since the Valsalva manoeuvre is a common phenomenon, one should keep it in mind when observing unclear ocular findings.
这里讨论了5个病例，在这些病例中，看似无害的瓦尔萨尔瓦动作在眼部引发了不同的临床表现：巨大的视网膜中央前出血、弥漫性视网膜出血、普尔绍视网膜病变以及与右眼上下眼睑血肿相关的失明，这可能是由视神经鞘出血所致。需要注意的是，除了已知的黄斑前小出血外，瓦尔萨尔瓦动作可在眼部引发不同表现。由于瓦尔萨尔瓦动作是一种常见现象，在观察不明原因的眼部症状时应予以考虑。
