2013
DOI: 10.1136/bcr-2013-200159
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Bilateral cystoid macular oedema and cotton wool spots associated with Henoch-Schonlein purpura

Abstract: We report a case of a male patient having bilateral cystoid macular oedema and cotton wool spots associated with Henoch-Schonlein purpura. He presented with decreased vision bilaterally measuring 0.2 (6/9.5) on the right and 0.5 (6/19) on the left. He has chronic hypertension with blood pressure averaging 150/90. His blood pressure was raised at 180/110 and with treatment reduced to 164/99. There were no other signs of malignant hypertensive retinopathy. He was treated with oral prednisolone and noticed a sign… Show more

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Cited by 6 publications
(4 citation statements)
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“…Reported HSP cases with ocular involvement includes keratitis and granulomatous uveitis [1,2]; unilateral anterior ischemic optic neuropathy [3]; bilateral central retinal artery occlusion [4]; and subperiosteal orbital hematomas [5]. Bilateral cystoid macular edema and cotton wool spots were previously reported in two patients with Henoch-Schonlein purpura [6,7]. Both of the two patients had high blood pressure and minimal retinal hemorrhages.…”
Section: Discussionmentioning
confidence: 99%
“…Reported HSP cases with ocular involvement includes keratitis and granulomatous uveitis [1,2]; unilateral anterior ischemic optic neuropathy [3]; bilateral central retinal artery occlusion [4]; and subperiosteal orbital hematomas [5]. Bilateral cystoid macular edema and cotton wool spots were previously reported in two patients with Henoch-Schonlein purpura [6,7]. Both of the two patients had high blood pressure and minimal retinal hemorrhages.…”
Section: Discussionmentioning
confidence: 99%
“…The most encountered ocular involvement was uveitis (n=4) [3][4][5][6], keratitis accompanied in two of these cases [3,4]. There are 2 cases of bilateral cystoid macular edema and cotton wool spots associated with decompensated HSP-related nephropathy [7,8]. The other possible vasculitis-related ocular manifestations in HSP were central retinal artery occlusion, subperiosteal hematoma, episcleritis and anterior ischemic optic neuropathy [9][10][11][12][13].…”
Section: Discussionmentioning
confidence: 99%
“…Cases of ischemic optic neuropathy and retinal vasculitis have been described in IgAV [87][88][89][90][91]. But, the most common ocular manifestation of IgAN is episcleritis and scleritis [92,93].…”
Section: Cryoglobulinemic Vasculitismentioning
confidence: 99%