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KMID : 0213520090230040318
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Korean Journal of Ophthalmology
2009 Volume.23 No. 4 p.318 ~ p.320
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Valsalva Retinopathy Associated With an Oratorical Contest
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Kim Joo-Young
Lee Dong-Hoon
Lee Jong-Hyuck
Yoon Ie-Na
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Abstract
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A 17-year-old man presented to us with a chief complaint of decreased visual acuity accompanied by central scotoma. There was nothing unusual in his medical history other than a recent oratorical contest. At the time of initial diagnosis, the corrected visual acuity was 20/20 in the right eye and 20/100 in the left eye. No significant findings were apparent on ophthalmic evaluation. On fundoscopy, there was a dumbbell-shaped macular bleed with a well-defined margin in the left eye. The clinical course was closely monitored along with drug therapy. Four weeks post presentation, the pre-retinal hemorrhage had nearly resolved. On fluorescein angiography, no significant findings were observed. In the left eye, the corrected visual acuity had improved to 20/25. Valsalva retinopathy is a pathology that occurs when a sudden increase in intra-thoracic pressure or abdominal pressure occurs in an otherwise healthy person. Here we report a case of Valsalva retinopathy occurring following an oratorical contest along with a review of the relevant literature.
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KEYWORD
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Oratorical contest, Valsalva retinopathy
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