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:: Volume 25, Issue 3 (Spring 2021) ::
3 2021, 25(3): 342-345 Back to browse issues page
Bilateral Neuroretinitis, A Benign Phenomenon or An Alarming Sign for a Life-threatening Disorder?
Abstract:   (863 Views)
Purpose: To report a case of bilateral neuroretinitis as the first sign of underlying pheochromocytoma.
Case report: A 14-year-old girl was referred to our clinic with the complaint of progressive visual loss in her left eye 2 weeks ago. She was under systemic steroid therapy and one injection of periocular triamcinolone was done for her. Dilated funduscopy revealed bilateral disc swelling, cotton-wool spots, arterial narrowing, venous dilation and engorgement, macular exudates in star-shaped formation; all symptoms were more prominent in the left eye with no significant finding in the anterior segment examination. Examination of the anterior segment was not particularly significant. By impression of bilateral neuroretinitis, blood pressure was checked urgentlyو which was 200/120 mmHg. Finally, pheochromocytoma was diagnosed for her during a complete systemic workup.
Conclusion: Bilateral neuroretinitis mandates thorough systemic workup, including blood pressure control as this ocular finding, may be the first sign of an underlying life-threatening disorder.
Keywords: Blood Pressure, Macular Star, Neuroretinitis, Pheochromocytoma
Full-Text [PDF 4378 kb]   (338 Downloads)    
Type of Study: case report | Subject: Ophthalmology
ePublished: 2021/05/31
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Bilateral Neuroretinitis, A Benign Phenomenon or An Alarming Sign for a Life-threatening Disorder?. 3 2021; 25 (3) :342-345
URL: http://binajournal.org/article-1-1108-en.html

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Volume 25, Issue 3 (Spring 2021) Back to browse issues page
مجله چشم‌پزشکی بینا Bina Journal of Ophthalmology
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