目的:讨论孕妇Valsalva视网膜病变保守或手术治疗方法的选择。方法:一健康孕妇在自然阴道分娩时,右眼底发生黄斑前玻璃体后界膜下出血,本文报道其保守治疗的效果。结果:右眼发病3wk时积血收缩,视力为眼前手动,但病程6mo时,积血溶解,视力恢复至6/5。结论:大多数Valsalva视网膜病变能够自愈。对一些难治性病例,采用Nd:YAG激光行内界膜切开具有一定的效果。而早期玻璃体切除术的增殖膜切除,对预防眼底新生血管膜的发生也具有一定的效果。 OBJECTIVE: To discuss the choice of conservative or surgical treatment of Valsalva retinopathy in pregnant women. Methods: A healthy pregnant woman in the natural vaginal delivery, right fundus posterior subcapsular posterior subcapsular hemorrhage, the report of its conservative treatment effect. Results: The right eye onset 3wk hemorrhagic contraction, visual acuity before hand, but the course of 6mo, hemolysis, visual acuity recovered to 6/5. Conclusion: Most Valsalva retinopathy are self-healing. For some refractory cases, the use of Nd: YAG laser in the internal limiting membrane incision has a certain effect. The early vitrectomy proliferation of membrane excision, the prevention of retinal neovascular membrane also has a certain effect.