Leite João, Meireles Angelina, Correia Nuno Alves
aDepartment of Ophthalmology, Centro Hospitalar e Universitário do Porto, Oporto, Portugal.
bICBAS - Instituto de Ciências Biomédicas Abel Salazar, Oporto, Portugal.
Case Rep Ophthalmol. 2022 Sep 30;13(3):706-710. doi: 10.1159/000525312. eCollection 2022 Sep-Dec.
This case presents a minimal invasive alternative for the treatment of subhyaloid hemorrhages. Young, female, 32 years old, with no regular medication and with no personal or ophthalmological history, reports a sudden and profound decrease in visual acuity after an episode of vomiting, with 2 days of evolution. After funduscopic observation and complementary diagnostic tests, subhyaloid hemorrhage was detected and laser hyaloidotomy was performed, with restoration of visual acuity after 1 week. Nd:YAG laser treatment made it possible to quickly restore the visual acuity of the patient after following diagnostic procedures, avoiding other types of treatments, such as pars plana vitrectomy. This case reports a Valsalva retinopathy with clinical presentation in the form of subhyaloid hemorrhage after an episode of self-limited vomiting, effectively treated with Nd: YAG laser.
本病例展示了一种治疗玻璃体后间隙出血的微创替代方法。患者为32岁年轻女性，无常规用药史，无个人或眼科病史，在一次呕吐发作后视力突然急剧下降，病程2天。经眼底检查和辅助诊断测试后，发现玻璃体后间隙出血，并进行了激光玻璃体后间隙切开术，1周后视力恢复。钕钇铝石榴石（Nd:YAG）激光治疗使患者在经过诊断程序后能够迅速恢复视力，避免了其他类型的治疗，如平坦部玻璃体切除术。本病例报告了一例瓦尔萨尔瓦视网膜病变，在一次自限性呕吐发作后以玻璃体后间隙出血的形式出现临床表现，经Nd:YAG激光有效治疗。
