Nawi NM and Mohamad NF
Aim: To report a rare case of valsalva retinopathy in adult following a cardiopulmonary resuscitation.
Case report: A 35-year-old man admitted to intensive care unit for acute exacerbation of bronchial asthma secondary to pneumonia and received cardiopulmonary resuscitation during the admission. Post extubation, he noted bilateral central reduce vision with visual acuity of 6/60 in the right eye and 6/24 in the left eye. Fundus examination showed bilateral pre-macular haemorrhage. Patient was treated conservatively and regain normal vision after six weeks with complete resolution of the pre-retinal haemorrhage.
Conclusion: Valsalva retinopathy is a well-described phenomenon which happen due to increase intrathoracic pressure causing rise in intravenous ocular pressusre leading to rupture of retinal capillaries. A pre-retinal haemorrhage in the macula is the usual finding at presentation. Although it involved the central area of macula, prognosis is good as seen in this case complete anatomical improvement is observed within months.
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