BMJ 2003; 327 doi: https://doi.org/10.1136/bmj.327.7407.172 (Published 17 July 2003) Cite this as: BMJ 2003;327:172

Father Christmas would like to remind readers that if they wish to have papers considered for the Christmas edition of the BMJ, their papers must be with us no later than the end of August. Going to submit.bmj.com/ gives you easy access to our electronic submission process.

Embedded Image

Embedded Image

A 20 year old woman presented to eye casualty with a history of three grey patches in her left vision for one week since a visit to a water park where she had ridden on a high water slide. Her visual acuity was normal but examination showed superficial disc and retinal haemorrhages (top). There was no posterior vitreous detachment and all investigations, including fluorescein angiography and a systemic workup, showed no abnormality. Two weeks later the signs had resolved (bottom). The haemorrhages were attributed to the violent water rides and the associated Valsalva manoeuvre, aggravated by spikes of high venous pressure caused by sliding head first down a variable gradient in the prone position. P Puri, specialist registrar, M A Ahad, senior house officer, J F Talbot, consultant, department of ophthalmology, Royal Hallamshire Hospital, Sheffield S10 2J

Oscar Wilde said, “The pure and …

View Full Text

Sign in

Log in through your institution

Free trial

Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial