Document Detail

Hypertensive retinopathy caused by a rare ovarian tumor: case report and photo essay.
MedLine Citation:
PMID:  1814990     Owner:  NLM     Status:  MEDLINE    
A 38-year-old female presented for an optometric exam complaining that her "vision had occasionally gone blank while reading during the past 2 months". Although visual acuity was 20/20 in both eyes, hypertensive retinopathy was present in both eyes. Blood pressure was measured to be 210/142. After inadequate response to initial treatment, her family physician referred her to an internist. Ultimately, a four pound Sertoli-Leydig ovarian tumor was found to be causing malignant hypertension. Removal of the tumor and medical treatment of the hypertension cleared the hypertensive retinopathy within 4 months. Prompt optometric care led to the timely discovery of this tumor, and probably prolonged this woman's life. This case illustrates the valuable role optometric care can have in the management of hypertension from any cause. Coordination with the primary physician as to the status of the hypertensive retinopathy is an integral part of the total management. Retinal photographs at presentation and at various stages of treatment dramatically show how the level of fundus pathology is related to the level of hypertension.
L U De Rosa
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Optometric Association     Volume:  62     ISSN:  0003-0244     ISO Abbreviation:  J Am Optom Assoc     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1992-06-22     Completed Date:  1992-06-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505575     Medline TA:  J Am Optom Assoc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  132-6     Citation Subset:  IM    
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MeSH Terms
Blood Pressure
Fundus Oculi
Leydig Cell Tumor / complications*
Ocular Hypertension / diagnosis,  etiology*
Ovarian Neoplasms / complications*
Retinal Diseases / diagnosis,  etiology*
Sertoli Cell Tumor / complications*
Visual Acuity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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