{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T17:13:20Z","timestamp":1770138800344,"version":"3.49.0"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report a rare case of spontaneous suprachoroidal hemorrhage and present a systematic review of the literature using PubMed\/Medline databases. Patients that developed a spontaneous\n\t\t\t\t\tsuprachoroidal hemorrhage with a history of previous intraocular surgery were excluded. An 82-year-old male patient with no known ocular pathologies or surgical history was referred with\n\t\t\t\t\tacute ocular pain and decreased vision in the right eye (BCVA: 0.6 with hyperopic correction) following a Valsalva maneuver. General history included chronic heart failure and coronary\n\t\t\t\t\tartery disease, treated with anticoagulant and antihypertensive drugs. Dilated fundus examination revealed a posterior red-brown choroidal mass, with a thickness of 1.5 mm on B-scan\n\t\t\t\t\tultrasonography. The lesion was not visible on fluorescein or indocyanine green angiography and was located under the choroid on B-scan optical coherence tomography. The diagnosis of a\n\t\t\t\t\tspontaneous suprachoroidal hemorrhage was evoked, and the patient was observed. Five months later, BCVA was 1.0 uncorrected, with a normal-appearing fundus. In a literature review, eight\n\t\t\t\t\tcases of spontaneous suprachoroidal hemorrhage following an episode of increased intrathoracic pressure were identified, including our patient. M\/F ratio was 1\u200a:\u200a1, with a median age of 66.5\n\t\t\t\t\tyears. All cases presented systemic pathologies. All cases presented with a unilateral suprachoroidal hemorrhage. Only 2\/8 patients had ocular comorbidities. Complications requiring\n\t\t\t\t\ttreatment were noted in 4\/8 cases, including 2 cases that resulted in the loss of the vision following an acute angle-closure glaucoma. Spontaneous resolution of the hemorrhage was observed\n\t\t\t\t\tin the other 4 patients. In 6\/8 cases, vision recovered over a mean period of 10 weeks. In conclusion, spontaneous suprachoroidal hemorrhage following a Valsalva maneuver in eyes with no\n\t\t\t\t\thistory of ocular surgery or trauma is rare, and has been associated with advanced age, cardiovascular disease and asthma. In severe cases (2\/8) the eye was lost, while most cases (6\/8)\n\t\t\t\t\trecovered, presenting a good visual outcome.<\/jats:p>","DOI":"10.1055\/a-1785-4912","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T22:36:36Z","timestamp":1651012596000},"page":"559-564","source":"Crossref","is-referenced-by-count":4,"title":["Valsalva-Induced Spontaneous Suprachoroidal Hemorrhage: A Case Report and Review of the Literature"],"prefix":"10.1055","volume":"239","author":[{"given":"Jacques","family":"Bijon","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jules-Gonin Eye Hospital, FAA, University of Lausanne, Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Schalenbourg","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Jules-Gonin Eye Hospital, FAA, University of Lausanne, Lausanne, 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