Malignant Hypertensive Retinopathy in an Infant with Mid-Aortic Occlusion
Purpose. Case report describing an eight-month-old infant presenting with intermittent esotropia and irritability who was found to have malignant (grade 4) hypertensive retinopathy and mid-aortic syndrome. Methods. Visual acuity was 6/140 in the right eye and not recordable in the left eye. Blood pr...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/8162687 |
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| author | Lawrence J. Oh Gaurav Bhardwaj David S. Winlaw Craig E. Donaldson |
| author_facet | Lawrence J. Oh Gaurav Bhardwaj David S. Winlaw Craig E. Donaldson |
| author_sort | Lawrence J. Oh |
| collection | DOAJ |
| description | Purpose. Case report describing an eight-month-old infant presenting with intermittent esotropia and irritability who was found to have malignant (grade 4) hypertensive retinopathy and mid-aortic syndrome. Methods. Visual acuity was 6/140 in the right eye and not recordable in the left eye. Blood pressure was as high as 230/120 mmHg. Fundoscopy revealed bilateral optic disc swelling, macular stars, and serous retinal detachment in the left eye, findings that are consistent with malignant (grade 4) hypertensive retinopathy. CT abdominal angiogram revealed a severe mid-aortic syndrome with occlusion of the abdominal aorta at T12. Results. The patient was treated with medical management of his hypertension, improving the subretinal exudate. Binocular visual acuity improved to 6/9.5 over 9 months. There was a persistent left relative afferent pupillary defect and moderate left esotropia. Conclusion. This is the first reported case of malignant hypertensive retinopathy in an infant with concomitant mid-aortic occlusion. The authors emphasize the need for an ophthalmological and pediatric examination in a child presenting with intermittent squint and irritability. The esotropia was found to be a false localizing sign of raised intracranial pressure secondary to the severe mid-aortic syndrome. |
| format | Article |
| id | doaj-art-1621df7634e44b17ad14e4df3b368ba6 |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-1621df7634e44b17ad14e4df3b368ba62025-02-03T06:12:16ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/81626878162687Malignant Hypertensive Retinopathy in an Infant with Mid-Aortic OcclusionLawrence J. Oh0Gaurav Bhardwaj1David S. Winlaw2Craig E. Donaldson3Department of Ophthalmology, Save Sight Institute, Sydney, NSW, AustraliaDepartment of Ophthalmology, The Children’s Hospital at Westmead, Sydney, NSW, AustraliaSydney Medical School, University of Sydney, Sydney, NSW, AustraliaSydney Medical School, University of Sydney, Sydney, NSW, AustraliaPurpose. Case report describing an eight-month-old infant presenting with intermittent esotropia and irritability who was found to have malignant (grade 4) hypertensive retinopathy and mid-aortic syndrome. Methods. Visual acuity was 6/140 in the right eye and not recordable in the left eye. Blood pressure was as high as 230/120 mmHg. Fundoscopy revealed bilateral optic disc swelling, macular stars, and serous retinal detachment in the left eye, findings that are consistent with malignant (grade 4) hypertensive retinopathy. CT abdominal angiogram revealed a severe mid-aortic syndrome with occlusion of the abdominal aorta at T12. Results. The patient was treated with medical management of his hypertension, improving the subretinal exudate. Binocular visual acuity improved to 6/9.5 over 9 months. There was a persistent left relative afferent pupillary defect and moderate left esotropia. Conclusion. This is the first reported case of malignant hypertensive retinopathy in an infant with concomitant mid-aortic occlusion. The authors emphasize the need for an ophthalmological and pediatric examination in a child presenting with intermittent squint and irritability. The esotropia was found to be a false localizing sign of raised intracranial pressure secondary to the severe mid-aortic syndrome.http://dx.doi.org/10.1155/2016/8162687 |
| spellingShingle | Lawrence J. Oh Gaurav Bhardwaj David S. Winlaw Craig E. Donaldson Malignant Hypertensive Retinopathy in an Infant with Mid-Aortic Occlusion Case Reports in Ophthalmological Medicine |
| title | Malignant Hypertensive Retinopathy in an Infant with Mid-Aortic Occlusion |
| title_full | Malignant Hypertensive Retinopathy in an Infant with Mid-Aortic Occlusion |
| title_fullStr | Malignant Hypertensive Retinopathy in an Infant with Mid-Aortic Occlusion |
| title_full_unstemmed | Malignant Hypertensive Retinopathy in an Infant with Mid-Aortic Occlusion |
| title_short | Malignant Hypertensive Retinopathy in an Infant with Mid-Aortic Occlusion |
| title_sort | malignant hypertensive retinopathy in an infant with mid aortic occlusion |
| url | http://dx.doi.org/10.1155/2016/8162687 |
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