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性交后因瓦尔萨尔瓦视网膜病变导致的视力丧失:一例报告。

Postcoital visual loss due to valsalva retinopathy: A case report.

作者信息

Mahjoub Ahmed, Ben Abdesslem Nadia, Ben Abderrazek Atf, Mahjoub Anis, Ben Ammar Dorra, Bachraoui Chirine, Bouatay Abdelkarim, Bouslama Emna, Ghorbel Mohamed, Mahjoub Hachemi

机构信息

Department of Ophthalmology, Farhat Hached Hospital, University of Sousse, Tunisia.

Department of Clinical Hematology, Farhat Hached Hospital, University of Sousse, Tunisia.

出版信息

Ann Med Surg (Lond). 2022 Sep 21;82:104721. doi: 10.1016/j.amsu.2022.104721. eCollection 2022 Oct.

Abstract

Valsalva retinopathy is a rare pathology presenting as a sudden and painless loss of vision affecting young subjects with no medical history. It is the result of an increase of intraocular venous pressure, leading to retrohyaloid haemorrhage. We describe here the clinical presentation of a retrohyaloid hemorrhage resulting from a valsalva mechanism following a sexual activity, in a 28-year-old patient treated by Neodymium:yttrium-aluminum-garnet (Nd:YAG) laser hyaloidotomy with a visual recovery of 20/20 on 3 weeks follow-up. Valsalva retinopathy is a rare and an easy-to-diagnose pathology that is safely handled by Nd:YAG laser hyaloidotomy for a quick visual acuity recovery.

摘要

瓦尔萨尔瓦视网膜病变是一种罕见的病症,表现为突然无痛性视力丧失,累及无病史的年轻患者。它是眼内静脉压升高导致玻璃体后出血的结果。我们在此描述一名28岁患者在性行为后因瓦尔萨尔瓦机制导致玻璃体后出血的临床表现,该患者接受了钕:钇铝石榴石(Nd:YAG)激光玻璃体切割术治疗,术后3周视力恢复至20/20。瓦尔萨尔瓦视网膜病变是一种罕见且易于诊断的病症,通过Nd:YAG激光玻璃体切割术可安全治疗,以实现快速视力恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8410/9577858/3c2ce2b351f9/gr1.jpg

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