Jones W L
VA Medical Center, Albuquerque, NM 87108, USA.
J Am Optom Assoc. 1995 May;66(5):301-4.
A 43 year old male who performed a severe and sustained Valsalva maneuver developed a vitreous hemorrhage that was suspected as originating from an optic nerve vessel. Valsalva hemorrhagic retinopathy is not a common ocular finding and a breakthrough into the vitreous is even more uncommon. The vitreous hemorrhage cleared with recovery of previous acuity levels and a residua of small areas of fibrosis in the inferior vitreous. A discussion of the physiology of the Valsalva maneuver and of possible ocular and nonocular complications is presented. There is also a discussion of how this maneuver is used in the diagnosis of orbital diseases.
In this case a vitreous hemorrhage was induced by a marked and sustained Valsalva maneuver which resolved without significant sequelae. The Valsalva maneuver is capable of causing many ocular complications; it is important to advise patients about the potential side effects of this maneuver.
一名43岁男性进行了剧烈且持续的瓦尔萨尔瓦动作后发生了玻璃体出血，怀疑出血源自视神经血管。瓦尔萨尔瓦出血性视网膜病变并非常见的眼部表现，突破至玻璃体更为罕见。玻璃体出血随着视力恢复至先前水平而清除，下方玻璃体遗留小面积纤维化。本文讨论了瓦尔萨尔瓦动作的生理学以及可能的眼部和非眼部并发症。还讨论了该动作在眼眶疾病诊断中的应用。
在此病例中，明显且持续的瓦尔萨尔瓦动作诱发了玻璃体出血，出血消退且无明显后遗症。瓦尔萨尔瓦动作能够引发多种眼部并发症；告知患者该动作的潜在副作用很重要。
