Bilateral cystoid macular oedema and cotton wool spots associated with Henoch-Schonlein purpura.
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 significant improvement the following day. An objective measurement performed 2 days later was -0.10 (6/4.8) bilaterally with resolution of macular oedema.
Cardiff Eye Unit, University Hospital Wales, Cardiff, UK. lukenicholson17@gmail.com
Luke
L
Nicholson
Divya
D
Mathews
D006801:Humans; D011695:IgA Vasculitis / Q000150:complications*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008269:Macular Edema / Q000150:complications*; D008297:Male; D041623:Tomography, Optical Coherence; D055815:Young Adult