Suprachoroidal hemorrhage following a Valsalva maneuver

J C van Meurs, W A van den Bosch

Research output: Contribution to journalLetterpeer-review


In a Valsalva maneuver, a sudden increase in venous pressure may lead to vessel-wall rupture by an apparently excessive pressure gradient across the vessel wall. Thus, various types of periocular hemorrhages have been reported, ie, conjunctival, vitreous, retinal, and orbital.
To our knowledge, the choroidal vessels have not been reported to be a source of bleeding following a Valsalva manever. This is surprising because choroidal hemorrhage, a dreaded complication during and following ocular surgery and trauma, is also caused by an apparently excessive pressure gradient across the vessel wall, in this instance due to hypotonia. We present a case in which a Valsalva maneuver caused a choroidal hemorrhage.
Original languageEnglish
Pages (from-to)1025-6
Number of pages2
JournalArchives of Ophthalmology
Issue number8
Publication statusPublished - Aug 1993


  • Choroid Hemorrhage/diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Ultrasonography
  • Valsalva Maneuver
  • Visual Acuity
  • Vomiting/complications


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