Seeing the difference—Painless progressive vision loss in a vasculopath
| Autor: | Clare L. Fraser, Katherine Masselos, Jennifer Sandbach, Jenny L. Hepschke |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Progressive vision loss genetic structures Blindness Diagnosis Differential Peripheral Arterial Disease 03 medical and health sciences 0302 clinical medicine Ophthalmology Myxoid degeneration medicine Humans Optic Neuropathy Ischemic Aged Calciphylaxis business.industry Vascular disease Retinal ischemia medicine.disease eye diseases Surgery Cotton wool spots 030221 ophthalmology & optometry Optic nerve sense organs medicine.symptom Tomography X-Ray Computed business Tomography Optical Coherence 030217 neurology & neurosurgery Sudden onset |
| Zdroj: | Survey of Ophthalmology. 64:123-131 |
| ISSN: | 0039-6257 |
| DOI: | 10.1016/j.survophthal.2017.09.001 |
| Popis: | A 78-year-old Caucasian man with significant vascular disease reported sudden onset of worsened vision during a routine wound-care appointment for nonhealing necrotic leg ulcers. He described painless blurring of vision with grey scotomas in his right eye, his only well-seeing eye, after trauma to the left eye as a child. He presented with retinal ischemia, a cotton wool spot, and optic nerve swelling. Temporal artery biopsy showed myxoid degeneration and extensive calcium deposition, which also was present on imaging throughout his carotid and vertebral arterial system-the clinical picture of calciphylaxis. |
| Databáze: | OpenAIRE |
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