Features of Valsalva-Induced Choroidal Hemorrhage in High Myopia

Livia Faes; Alessandro Feo; Jiwei Sheng; Prithvi Ramtohul; Bradley S Gundlach; J Michael Jumper; David Sarraf; K Bailey Freund

doi:10.1016/j.oret.2024.10.021

Features of Valsalva-Induced Choroidal Hemorrhage in High Myopia

Ophthalmol Retina. 2024 Oct 28:S2468-6530(24)00508-6. doi: 10.1016/j.oret.2024.10.021. Online ahead of print.

Authors

Livia Faes¹, Alessandro Feo², Jiwei Sheng³, Prithvi Ramtohul⁴, Bradley S Gundlach³, J Michael Jumper⁵, David Sarraf⁶, K Bailey Freund⁷

Affiliations

¹ Vitreous Retina Macula Consultants of New York, New York, United States.
² Retinal Disorders and Ophthalmic Genetics Division, Stein Eye Institute, University of California of Los Angeles, David Geffen School of Medicine at UCLA, Los Angeles, California, United States; Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20072, Pieve Emanuele-Milan, Italy.
³ Retinal Disorders and Ophthalmic Genetics Division, Stein Eye Institute, University of California of Los Angeles, David Geffen School of Medicine at UCLA, Los Angeles, California, United States.
⁴ Vitreous Retina Macula Consultants of New York, New York, United States; Ophthalmology Department, Hopital Nord, Aix-Marseille University, Marseille, France.
⁵ West Coast Retina Medical Group, San Francisco, California, United States; Department of Ophthalmology, California Pacific Medical Center, San Francisco, California, United States.
⁶ Retinal Disorders and Ophthalmic Genetics Division, Stein Eye Institute, University of California of Los Angeles, David Geffen School of Medicine at UCLA, Los Angeles, California, United States; Greater Los Angeles VA Healthcare Center, Los Angeles, California, United States.
⁷ Vitreous Retina Macula Consultants of New York, New York, United States; Department of Ophthalmology, NYU Grossman School of Medicine, New York, New York, United States.

PMID: 39477208
DOI: 10.1016/j.oret.2024.10.021

Abstract

We report clinical and imaging features of Valsalva-induced choroidal hemorrhage (VICH) in high myopia, highlighting choroidal venous congestion, and hyperpermeability in dominant vortex vein systems, and luminal compression at the crest of deep myopic staphylomas.

Keywords: Choroidal hemorrhage; High myopia; Spontaneous; Valsalva induced choroidopathy; Valsalva-induced choroidal hemorrhage; Valsalva-induced retinopathy; suprachoroidal hemorrhage.