Document Detail


Rare case of choroidal hemorrhage complicated with hypertension due to chronic renal failure.
MedLine Citation:
PMID:  18319559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Choroidal hemorrhage is usually seen as expulsive hemorrhage related to surgical invasion and is rarely observed in the absence of surgery or trauma. In this report, we describe a case of choroidal hemorrhage caused by hypertension related to chronic renal failure. CASE: A 32-year-old man presented with sudden visual loss, eye pain and swelling in his left eye. He had a history of renal failure and hypertension. Eye examination demonstrated choroidal hemorrhage associated with ocular hypertension in his left eye and marked hypertensive retinopathy in his right eye. OBSERVATIONS: He was treated with hemodialysis and antihypertensive drugs. Upon repeat eye examinations, a gradual reabsorption of the choroidal hemorrhage was observed, although vitreous hemorrhage appeared in the left eye. The vitreous hemorrhage was treated with vitrectomy with the patient regaining good visual acuity post-surgery. CONCLUSIONS: This rare case suggests that patients with severe background disease need to be carefully observed.
Authors:
Tomoyuki Tajika; Hideaki Yokozeki; Katsuo Ishimaru; Takeshi Naito; Hiroshi Shiota
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of medical investigation : JMI     Volume:  55     ISSN:  1343-1420     ISO Abbreviation:  J. Med. Invest.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-03-05     Completed Date:  2008-05-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9716841     Medline TA:  J Med Invest     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  151-5     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Tokushima Municipal Hospital, Tokushima, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antihypertensive Agents / therapeutic use
Choroid Hemorrhage / etiology*,  therapy
Humans
Hypertension / complications*,  therapy
Kidney Failure, Chronic / complications*,  therapy
Male
Renal Dialysis
Treatment Outcome
Vitrectomy
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

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


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