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Revista mexicana de oftalmología
versão On-line ISSN 2604-1227versão impressa ISSN 0187-4519
Resumo
FAJARDO-SANCHEZ, Julia A.; ROJAS-LOZANO, Pilar e CHAU-RAMOS, Carlos E.. Retinopathy of valsalva secondary to bulimia nervosa: revision of the treatment with laser Nd-YAG. Rev. mex. oftalmol [online]. 2019, vol.93, n.6, pp.303-307. Epub 06-Ago-2021. ISSN 2604-1227. https://doi.org/10.24875/rmo.m18000045.
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 (sub-ILM) 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 and minimal risk.
Palavras-chave : Valsalva Retinopathy; Sub internal limiting membrane hemorrhage; Nd-YAG laser; Membranotomy; Bulimia nervosa.
