A unique case of valsalva retinopathy in a conch blower

Purpose: Valsalva hemorrhagic retinopathy is a form of preretinal hemorrhage that develops after a valsalva maneuver, leading to rupture of the superficial retinal capillaries. Here, we report a case of valsalva retinopathy secondary to blowing a conch, the first case report of its kind. The patient...

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Main Author: Rajya L. Gurung
Format: Article
Language:English
Published: Elsevier 2017-09-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993616302110
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author Rajya L. Gurung
author_facet Rajya L. Gurung
author_sort Rajya L. Gurung
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description Purpose: Valsalva hemorrhagic retinopathy is a form of preretinal hemorrhage that develops after a valsalva maneuver, leading to rupture of the superficial retinal capillaries. Here, we report a case of valsalva retinopathy secondary to blowing a conch, the first case report of its kind. The patient blew conch, which was part of his daily ritual to pray to God as he was a Hindu priest. Observations: A 58-year-man developed an acute decrease in vision to 5/60 in his right eye after blowing the conch while performing “Puja,” which is the act of praying to God in Hindu culture. Ophthalmoscopy showed a fresh preretinal hemorrhage over the macula in his right eye. YAG laser membranotomy was performed, and his vision returned to 6/6. Conclusions and importance: Conch “Shankha” is a religious instrument used routinely in Hindu culture. Its mechanism is very much similar to that of a wind instrument. This is the first case report of valsalva retinopathy caused by conch blowing.
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spelling doaj.art-9708d7c04c5c494a8344e6eb4a5bf2392022-12-22T02:02:20ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362017-09-017C14014210.1016/j.ajoc.2017.07.003A unique case of valsalva retinopathy in a conch blowerRajya L. GurungPurpose: Valsalva hemorrhagic retinopathy is a form of preretinal hemorrhage that develops after a valsalva maneuver, leading to rupture of the superficial retinal capillaries. Here, we report a case of valsalva retinopathy secondary to blowing a conch, the first case report of its kind. The patient blew conch, which was part of his daily ritual to pray to God as he was a Hindu priest. Observations: A 58-year-man developed an acute decrease in vision to 5/60 in his right eye after blowing the conch while performing “Puja,” which is the act of praying to God in Hindu culture. Ophthalmoscopy showed a fresh preretinal hemorrhage over the macula in his right eye. YAG laser membranotomy was performed, and his vision returned to 6/6. Conclusions and importance: Conch “Shankha” is a religious instrument used routinely in Hindu culture. Its mechanism is very much similar to that of a wind instrument. This is the first case report of valsalva retinopathy caused by conch blowing.http://www.sciencedirect.com/science/article/pii/S2451993616302110Valsalva retinopathyRetinal hemorrhagesYAG laser membranotomyConch
spellingShingle Rajya L. Gurung
A unique case of valsalva retinopathy in a conch blower
American Journal of Ophthalmology Case Reports
Valsalva retinopathy
Retinal hemorrhages
YAG laser membranotomy
Conch
title A unique case of valsalva retinopathy in a conch blower
title_full A unique case of valsalva retinopathy in a conch blower
title_fullStr A unique case of valsalva retinopathy in a conch blower
title_full_unstemmed A unique case of valsalva retinopathy in a conch blower
title_short A unique case of valsalva retinopathy in a conch blower
title_sort unique case of valsalva retinopathy in a conch blower
topic Valsalva retinopathy
Retinal hemorrhages
YAG laser membranotomy
Conch
url http://www.sciencedirect.com/science/article/pii/S2451993616302110
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