Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgery
Purpose: We present a case of unilateral exudative retinal detachment and optic disc edema with choroidal hemangioma in a patient concurrently diagnosed with Transposition of the Great Arteries (TGA) and Sturge-Weber Syndrome (SWS). Observations: A seven-year-old patient presented with complaints of...
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Elsevier
2024-12-01
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| Series: | American Journal of Ophthalmology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993624001579 |
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| author | Manu Saini Mohit Dogra Kulbhushan Saini Ravindra Kumar Jaiswal |
| author_facet | Manu Saini Mohit Dogra Kulbhushan Saini Ravindra Kumar Jaiswal |
| author_sort | Manu Saini |
| collection | DOAJ |
| description | Purpose: We present a case of unilateral exudative retinal detachment and optic disc edema with choroidal hemangioma in a patient concurrently diagnosed with Transposition of the Great Arteries (TGA) and Sturge-Weber Syndrome (SWS). Observations: A seven-year-old patient presented with complaints of headache, photophobia, periocular pain, and diminished vision, accompanied by redness and lid swelling following a febrile illness. Ophthalmic examination revealed abnormally branched episcleral vasculature, exudative retinal detachment, optic disc edema and radiologically evident thickening of the choroid of the right eye. Systemic evaluation revealed hypoxia with cyanosis and clubbed fingers. The patient underwent cardiac interventions, including Fontan and Bidirectional Glenn procedures, aimed at improving systemic oxygenation. The patient's condition showed remarkable improvement following cardiac surgery. The surgical interventions not only improved systemic oxygenation but also resulted in the amelioration of ocular symptoms and visual improvement. Ophthalmic improvements included the resolution of abnormally branched episcleral vasculature, regression of exudative retinal detachment, and reduction in optic disc edema. Conclusion and Importance: This case highlights the intricate relationship between hemodynamic and vascular abnormalities of the eye and the clinical manifestations observed in patients presenting with the unique combination of SWS and TGA. |
| format | Article |
| id | doaj-art-5bc87f75df2845ce83930dc071f793f4 |
| institution | OA Journals |
| issn | 2451-9936 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj-art-5bc87f75df2845ce83930dc071f793f42025-08-20T01:57:56ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-12-013610214710.1016/j.ajoc.2024.102147Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgeryManu Saini0Mohit Dogra1Kulbhushan Saini2Ravindra Kumar Jaiswal3Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, IndiaAdvanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, IndiaDepartment of Anaesthesia, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India; Corresponding author.Department of Experimental Medicine and Biotechnology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, IndiaPurpose: We present a case of unilateral exudative retinal detachment and optic disc edema with choroidal hemangioma in a patient concurrently diagnosed with Transposition of the Great Arteries (TGA) and Sturge-Weber Syndrome (SWS). Observations: A seven-year-old patient presented with complaints of headache, photophobia, periocular pain, and diminished vision, accompanied by redness and lid swelling following a febrile illness. Ophthalmic examination revealed abnormally branched episcleral vasculature, exudative retinal detachment, optic disc edema and radiologically evident thickening of the choroid of the right eye. Systemic evaluation revealed hypoxia with cyanosis and clubbed fingers. The patient underwent cardiac interventions, including Fontan and Bidirectional Glenn procedures, aimed at improving systemic oxygenation. The patient's condition showed remarkable improvement following cardiac surgery. The surgical interventions not only improved systemic oxygenation but also resulted in the amelioration of ocular symptoms and visual improvement. Ophthalmic improvements included the resolution of abnormally branched episcleral vasculature, regression of exudative retinal detachment, and reduction in optic disc edema. Conclusion and Importance: This case highlights the intricate relationship between hemodynamic and vascular abnormalities of the eye and the clinical manifestations observed in patients presenting with the unique combination of SWS and TGA.http://www.sciencedirect.com/science/article/pii/S2451993624001579Transposition of great arteries 1Sturge-Weber syndrome 2Congenital cyanotic heart disease 3Hemodynamic alteration 4Vascular abnormalities 5And systemic oxygenation 6 |
| spellingShingle | Manu Saini Mohit Dogra Kulbhushan Saini Ravindra Kumar Jaiswal Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgery American Journal of Ophthalmology Case Reports Transposition of great arteries 1 Sturge-Weber syndrome 2 Congenital cyanotic heart disease 3 Hemodynamic alteration 4 Vascular abnormalities 5 And systemic oxygenation 6 |
| title | Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgery |
| title_full | Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgery |
| title_fullStr | Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgery |
| title_full_unstemmed | Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgery |
| title_short | Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgery |
| title_sort | resolution of exudative retinal detachment and optic disc edema in a child with sturge weber syndrome and congenital cyanotic heart disease after cardiac surgery |
| topic | Transposition of great arteries 1 Sturge-Weber syndrome 2 Congenital cyanotic heart disease 3 Hemodynamic alteration 4 Vascular abnormalities 5 And systemic oxygenation 6 |
| url | http://www.sciencedirect.com/science/article/pii/S2451993624001579 |
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