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BMC Ophthalmology

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01-12-2020 | Hypertension | Case report

Venous stasis retinopathy in a ten-year-old boy with ocular hypertension: a case report

Authors: Julia V. Stingl, Laura Ponce Nunez, Alexander K. Schuster, Esther M. Hoffmann

Published in: BMC Ophthalmology | Issue 1/2020

Abstract

Background

Central retinal vein occlusion is a variable disease pattern. Preliminary stages of a complete occlusion of the central vein, wich are subsumed under the term venous stasis retinopathy, may occur as transient blurred vision and with subtle alterations of the fundus. Course and prognosis are benign, visual acuity usually recovers. By now, venous stasis retinopathy in children due to Valsalva maneuver has not been described in literature yet.

Case presentation

We present an impressive case of venous stasis retinopathy in a 10-year-old boy with ocular hypertension and megalocornea due to increased intraocular pressure provoked by Valsalva maneuver. Main symptom was transient blurred vision in the left eye. The intraocular pressure was 28 mmHg, fundus exam revealed tortuous veins and a flame shaped hemorrhage at 7 o’clock. Total recovery under topical antiglaucomatous therapy could be observed after 1 month.

Conclusions

Acute increase in intraocular pressure, provoked by Valsalva maneuver is a risk factor for venous stasis retinopathy. Further general and vascular risk factors should be ruled out by extensive examination. Children with ocular hypertension might be at higher risk for impending vein occlusion as shown in this case.

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Title: Venous stasis retinopathy in a ten-year-old boy with ocular hypertension: a case report
Authors: Julia V. Stingl
Laura Ponce Nunez
Alexander K. Schuster
Esther M. Hoffmann
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Hypertension
Hypertension
Published in: BMC Ophthalmology / Issue 1/2020
Electronic ISSN: 1471-2415
DOI: https://doi.org/10.1186/s12886-020-01662-z

At a glance: The STEP trials

Springer Medicine

Venous stasis retinopathy in a ten-year-old boy with ocular hypertension: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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