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Case Reports in Medicine
Volume 2014, Article ID 524286, 3 pages
Case Report

Valsalva Retinopathy Associated with Sexual Activity

1The Vitreoretinal Division, King Khaled Eye Specialist Hospital, Al-Oruba Street, P.O. Box 7191, Riyadh 11462, Saudi Arabia
2Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA

Received 29 January 2014; Accepted 25 April 2014; Published 5 May 2014

Academic Editor: Marco A. Zarbin

Copyright © 2014 Khalid Al Rubaie and J. Fernando Arevalo. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A 54-year-old healthy male presented complaining of sudden loss of vision in the right eye. Initial visual acuity was counting fingers. The patient’s acute vision loss developed after sexual activity. Color fundus photos and fluorescein angiography were performed showing a large subinternal limiting membrane hemorrhage in the macular area. A 23-gauge sutureless pars plana vitrectomy with brilliant blue assisted internal limiting membrane peeling was performed with best-corrected visual acuity recovery to 20/50 at 6 months of followup.