Retinopathy of valsalva secondary to bulimia nervosa: revision of the treatment with laser Nd-YAG

Julia Fajardo-Sanchez, Pilar Rojas-Lozano, Carlos E. Chau-Ramos
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Abstract

19-year-old male under treatment for bulimia came for sudden decrease of the visual acuity (VA) of the left eye (LE) after an episode of severe vomit. The LE vision was of hand motion and the fundus showed a sub internal limiting membrane (subILM) hemorrhage of 14 disc diameters. We decided to use Nd-YAG laser on the membrane, obtaining the complete drainage of the hemorrhage and immediate recovery of the LE VA (20/20). Conclusion: Nd-YAG laser treatment is recommended for young and active patients in cases of sub-ILM hemorrhage in the context of Valsalva’s retinopathy, due to its effective results
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神经性贪食症继发valsalva视网膜病变:激光Nd-YAG治疗的改进
19岁男性贪食症患者因严重呕吐后左眼视力突然下降而就诊。视屏显示手部运动,眼底显示14个椎间盘直径的内限制膜出血。我们决定在膜上使用Nd-YAG激光,获得出血完全引流和LE VA立即恢复(20/20)。结论:Nd-YAG激光治疗年轻活跃的Valsalva视网膜病变亚ilm出血患者疗效显著,值得推荐
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