Authors:	Stingl, Julia V. Ponce Nunez, Laura Schuster, Alexander K. Hoffmann, Esther M.
Title:	Venous stasis retinopathy in a ten-year-old boy with ocular hypertension : a case report
Online publication date:	23-Apr-2021
Year of first publication:	2020
Language:	english
Abstract:	BACKGROUND Central retinal vein occlusion is a variable disease pattern. Preliminary stages of a complete occlusion of the central vein, wich are subsumed under the term venous stasis retinopathy, may occur as transient blurred vision and with subtle alterations of the fundus. Course and prognosis are benign, visual acuity usually recovers. By now, venous stasis retinopathy in children due to Valsalva maneuver has not been described in literature yet. CASE PRESENTATION We present an impressive case of venous stasis retinopathy in a 10-year-old boy with ocular hypertension and megalocornea due to increased intraocular pressure provoked by Valsalva maneuver. Main symptom was transient blurred vision in the left eye. The intraocular pressure was 28 mmHg, fundus exam revealed tortuous veins and a flame shaped hemorrhage at 7 o’clock. Total recovery under topical antiglaucomatous therapy could be observed after 1 month. CONCLUSIONS Acute increase in intraocular pressure, provoked by Valsalva maneuver is a risk factor for venous stasis retinopathy. Further general and vascular risk factors should be ruled out by extensive examination. Children with ocular hypertension might be at higher risk for impending vein occlusion as shown in this case.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-5763
Version:	Published version
Publication type:	Zeitschriftenaufsatz
License:	CC BY
Information on rights of use:	https://creativecommons.org/licenses/by/4.0/
Journal:	BMC ophthalmology 20
Pages or article number:	428
Publisher:	BioMed Central
Publisher place:	London
Issue date:	2020
ISSN:	1471-2415
Publisher URL:	https://doi.org/10.1186/s12886-020-01662-z
Publisher DOI:	10.1186/s12886-020-01662-z
Appears in collections:	JGU-Publikationen