Radiation retinopathy: a mistaken diagnosis of hypertensive retinopathy.
Radiation retinopathy is a vision-threatening complication following therapeutic irradiation of ocular, orbital, facial, nasopharyngeal and cranial structures. It is characterised by a delayed onset, slowly progressive, occlusive retinal microangiopathy that develops several years after initial radiotherapy. We present the case of a 44-year-old man who developed radiation retinopathy, initially diagnosed as a case of hypertensive retinopathy, following irradiation of a nasopharyngeal carcinoma. A careful history along with classical clinical features and fundus fluorescein angiography helped establish the diagnosis.
Raja
Vignesh
V
The University of Liverpool, School of Clinical Sciences, Liverpool, UK. drvigneshraja@gmail.com
Rajagopalan
Sripriya
S
Kashab
Tarek
T
Moriarty
Brendan
B
D000328:Adult; D003937:Diagnosis, Differential; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D009303:Nasopharyngeal Neoplasms / Q000150:complications / Q000532:radiotherapy; D011832:Radiation Injuries / Q000150:complications* / Q000175:diagnosis; D012160:Retina / Q000473:pathology / Q000528:radiation effects*; D012164:Retinal Diseases / Q000175:diagnosis* / Q000209:etiology