Document Detail

Ischemic retinopathy and uveitis in a patient with tetralogy of Fallot.
MedLine Citation:
PMID:  16271318     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe ischemic retinopathy in a patient with tetralogy of Fallot. DESIGN: Interventional case report. TESTING: Clinical and imaging evaluation. MAIN OUTCOME MEASURES: Clinical, imaging, and laboratory findings in a patient with tetralogy of Fallot. RESULTS: A 20-year-old female patient with tetralogy of Fallot had progressive visual loss of 3 weeks duration. Bilateral examination revealed dilated, tortuous, conjunctival vessels; prominent anterior chamber reaction; iris neovascularization; posterior synechia; retinal vascular tortuosity in both eyes; and inferior exudative retinal detachment. Fluorescein angiography revealed delayed retinal and choroidal filling. The working diagnosis was ischemic retinopathy with uveitis. The patient was treated for 6 months with a high-dose oral corticosteroid combined with a topical corticosteroid, a topical mydriatic, and panretinal photocoagulation. Conjunctival, vascular congestion subsided with a decrease in anterior chamber reaction. The inferior, exudative retinal detachment resolved, and vision was restored. CONCLUSIONS: Retinal ischemic syndrome combined with uveitis can develop in patients with tetralogy of Fallot. Treatment can restore vision in such patients.
Wei-Chi Wu; Chi-Chung Lai; Wen-Jen Su; Tun-Lu Chen; Yih-Shiou Hwang; Ken-Kuo Lin; Ling-Yuh Kao
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ophthalmology     Volume:  112     ISSN:  1549-4713     ISO Abbreviation:  Ophthalmology     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-07     Completed Date:  2005-11-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1936-40     Citation Subset:  IM    
Department of Ophthalmology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
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MeSH Terms
Administration, Oral
Administration, Topical
Drug Therapy, Combination
Fluorescein Angiography
Glucocorticoids / therapeutic use
Ischemia / diagnosis,  drug therapy,  etiology*
Prednisolone / analogs & derivatives,  therapeutic use
Retinal Vessels / pathology*
Tetralogy of Fallot / complications*,  diagnosis,  drug therapy
Tropicamide / administration & dosage
Uveitis / diagnosis,  drug therapy,  etiology*
Reg. No./Substance:
0/Glucocorticoids; 1508-75-4/Tropicamide; 50-24-8/Prednisolone; 52-21-1/prednisolone acetate

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

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