Abstract | BACKGROUND: HISTORY AND SIGNS: A 31-year-old woman presented with severe bilateral visual acuity loss associated with headaches and photophobia. Ophthalmoscopy showed bilateral optic disc edema, soft exudates, macular star, flame-shaped hemorrhages and arterial narrowing. The situation was more severe in the right eye. Fluorescein angiography confirmed the diagnosis of hypertensive retinopathy. Arterial blood pressure was 220/145 mmHg. A thorough systemic control revealed a right adrenal gland mass. Catecholamine secretion was normal. After ablation, the tumor proved to be a pheochromocytoma, and immunohistochemistry showed dopamine secretion. THERAPY AND OUTCOME: Postoperative evolution was uncomplicated. Antihypertensive treatment lasted only a few months. Visual acuity was restored and the retinal alterations disappeared 8 months after surgery. CONCLUSIONS:
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Authors | D Petkou, I K Petropoulos, A Kordelou, J M Katsimpris |
Journal | Klinische Monatsblatter fur Augenheilkunde
(Klin Monbl Augenheilkd)
Vol. 225
Issue 5
Pg. 500-3
(May 2008)
ISSN: 0023-2165 [Print] Germany |
PMID | 18454411
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adrenal Gland Neoplasms
(complications, diagnosis)
- Adult
- Female
- Humans
- Hypertension, Portal
(complications, diagnosis)
- Optic Nerve Diseases
(diagnosis, etiology)
- Pheochromocytoma
(complications, diagnosis)
- Retinal Diseases
(complications, diagnosis)
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