Diving-related visual loss in the setting of angioid streaks: report of two cases.

Purpose: The purpose of this study was to report diving-related visual loss in the setting of angioid streaks.

Methods: Observational case reports of two patients with angioid streaks suffering sudden visual loss immediately after diving.

Results: Two young adult male patients presented with visual loss after diving headfirst. Funduscopy revealed angioid streaks, peau d'orange, subretinal hemorrhages, and ruptures of Bruch membrane. Choroidal neovascularization developed during follow-up. Both patients had an otherwise uneventful personal and familial medical history.

Conclusion: In patients with angioid streaks, diving headfirst can lead to subretinal hemorrhages and traumatic ruptures in Bruch membrane and increase the risk of maculopathy. Ophthalmologists should caution patients with angioid streaks against diving headfirst.