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GATA Göz Hast. AD. Prognosis of macular hemeorrhages and other pathologies caused by increased intrathoracic and intraabdominal pressures with closure of glottis during strong Valsalva maneuveur is usually good. It is known that they occasionally mimic other clinical entities. Here we report four cases of Valsalva hemorrhagic retinopathy who were follow up in our department and discuss the physiopathology of mechanisms and traumas distant to the eye. Keywords : Hemorrhage, Valsalva Maneuveur, Vasculopathy