Pseudo-Glaucoma after Hypertensive Retinopathy

• 作者: Akihiro Ohira Katsunori Hara Masaki Tanito Yasurou Koyama
• 来源期刊: 眼科学期刊(英文)
• 学科: 医学
• 关键词: HYPERTENSIVE RETINOPATHY Pseudo-Glaucoma Retinal Nerve Fiber Layer Defects (NFLD) SPECTRAL-DOMAIN Optical COHERENCE Tomography (SD-OCT)
• 年，卷（期）: 2013,（2）
• 页码范围: 43-45
• 页数: 3页
• 分类号: R5

摘要

A 35-year-old Japanese woman showed the typical fundus appearance of acute hypertensive retinopathy, including multiple cotton-wool spots, retinal hemorrhages, star exudates, and disc edema bilaterally. Her systemic blood pressure was high (246/158 mmHg). Nephrologists diagnosed her with secondary hypertension due to immunoglobulin A nephropathy. After 2 years, all signs of acute retinopathy resolved and only multiple striated or sectorial darkening of the fundus (retinal nerve fiber layer defects [NFLD]) remained. Computerized analysis of the macular thickness measurement by optical coherence tomography alerted the risk of glaucoma. NFLD is a hallmark of early glaucoma that is more reliable than IOP elevations since normal tension glaucoma is popular in Japan. To differentiate this case from true glaucoma, information regarding her past history is critical for her future ophthalmologists.