Sudden vision loss after repeated retching: a case of Valsalva retinopathy

Authors

  • Valerie Chiang Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
  • Kendrick Co Shih Department of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
  • Jimmy SM Lai Department of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
  • Ian YH Wong Department of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.

Abstract

We report on a patient who developed unilateral retinal and vitreous hemorrhages after repeated retching and vomiting. A 22-year-old man of South Asian descent was seen at the Accident and Emergency Department, Queen Mary Hospital, for sudden loss of vision in his right eye. The episode was acute, painless and preceded by repeated retching and vomiting after a spicy curry meal. Examination revealed fresh intra- and pre-retinal hemorrhage involving the inferior macula. The condition resolved spontaneously with conservative measures and did not require specific treatment or intervention. Repeated vomiting as a result of a poorly tolerated spicy meal resulted in unilateral Valsalva retinopathy. This case report details the course of recovery and what patients and physicians should expect and rule out. It is important to reassure patients during this course that they will regain full visual function.

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Published

2016-09-01

How to Cite

1.
Chiang V, Shih KC, Lai JS, Wong IY. Sudden vision loss after repeated retching: a case of Valsalva retinopathy. Hong Kong J Ophthalmol [Internet]. 2016Sep.1 [cited 2023Dec.6];20(2):84-7. Available from: https://hkjo.hk/index.php/hkjo/article/view/208

Issue

Section

Case Report

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