Pars Plana Vitrectomy for Management of Valsalva Retinopathy

In this clinical video, Drs. Steven Saraf and Yewlin Chee perform a pars plana vitrectomy to manage a Valsalva retinopathy. The patient presented with painless vision loss and the fundus exam showed a preretinal hemorrhage consistent with Valsalva retinopathy. After a Nd:YAG membranotomy failed to result in any improvement, the surgeons proceeded with a vitrectomy. During surgery, they punctured the hemorrhage, enlarged the hole using forceps and emptied the hemorrhage. Ten months postop, the patient’s vision improved from counting fingers to 20/20 with mild irregularities in retinal laminations.

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