An unusual cause of acute bilateral optic disk swelling with macular star in a 9-year-old girl.
We report a rare case of bilateral optic disk swelling with macular exudates and cottonwool spots secondary to a pheochromocytoma in a 9-year-old girl. Malignant hypertensive changes in the eyes are uncommon and may sometimes resemble neuroretinitis. Overaggressive treatment of malignant hypertension can cause optic nerve infarction, leading to blindness.
I-Linn
Zena Lim
ZL
Singapore National Eye Centre, Singapore, Republic of Singapore.
Long
Quah Boon
QB
D000208:Acute Disease; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000315:Adrenalectomy / Q000379:methods; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D009887:Ophthalmoscopy; D010211:Papilledema / Q000175:diagnosis / Q000209:etiology*; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012164:Retinal Diseases / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed