Valsalva Retinopathy Differential Diagnoses

Updated: Jan 13, 2023
  • Author: Charles W Eifrig, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Diagnostic Considerations

With an antecedent history of physical exertion consistent with Valsalva maneuver and clinical features as described in this article, no further diagnostic workup is indicated. If the patient has no history of unusual exertion, investigating potential associated vascular conditions should be considered. The most common systemic conditions that cause retinal findings masquerading as Valsalva retinopathy include diabetes, hypertension, sickle cell disease, anemia, and idiopathic thrombocytopenic purpura (or other blood dyscrasias—acquired or genetic). Referral to a primary care physician and appropriate laboratory and physical examination is thus warranted.

Differential Diagnoses