This pregnant female developed sudden vision loss in her right eye following delivery of her baby.
There is a large, round detachment of the internal limiting membrane (ILM) throughout the entire macula with layered blood initially blocking the central fovea.
The blood gradually resolved 6 weeks, 14 weeks, and 18 weeks thereafter.
Learning Points:
Valsava retinopathy is characterized by preretinal hemorrhages, which virtually always resolve without sequelae over time. The blood can also be drained into the inferior vitreous by creating a small opening in the ILM using either a thermal or Nd:YAG laser.
