title: Bilateral stellate neuroretinitis revealing a pheochromocytoma.
abstract: Neuroretinitis (NR) is an inflammatory disorder characterized by optic disc edema and subsequent formation of a macular star. We present a case of a 33 year old woman patient admitted for a progressive bilateral visual loss since two weeks. Fundus examination showed bilateral stellate neuroretinitis. Physical examination revealed a malignant hypertension of 210/150 mmHg. Magnetic resonance imaging identified a left suprarenal mass, whereas urinary catecholamine level was abnormally high which supported a diagnosis of pheochromocytoma. The patient underwent a laparoscopic left suprarenal adrenalectomy after successful control of blood pressure. histopathologic examination confirmed the diagnosis of pheochromocytoma. Visual acuity was restored and the retinal alterations disappeared 7 months after surgery.
authors.affiliation: Ophthalmology Service, University Hospital Center Hassan II, Fes, Morocco.
authors.forename: Samar
authors.initials: S
authors.lastname: Younes
authors.affiliation: Ophthalmology Service, University Hospital Center Hassan II, Fes, Morocco.
authors.forename: Meriem
authors.initials: M
authors.lastname: Abdellaoui
authors.affiliation: Ophthalmology Service, University Hospital Center Hassan II, Fes, Morocco.
authors.forename: Fadoua
authors.initials: F
authors.lastname: Zahir
authors.affiliation: Ophthalmology Service, University Hospital Center Hassan II, Fes, Morocco.
authors.forename: Idriss
authors.initials: I
authors.lastname: Benatiya
authors.affiliation: Ophthalmology Service, University Hospital Center Hassan II, Fes, Morocco.
authors.forename: Hicham
authors.initials: H
authors.lastname: Tahri
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D010211:Papilledema / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D012173:Retinitis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015354:Vision, Low / Q000175:diagnosis / Q000209:etiology
keywords: Stellate neuroretinitis; macular star; optic disc edema; pheochromocytoma