Academic Journal

Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgery

التفاصيل البيبلوغرافية
العنوان: Resolution of exudative retinal detachment and optic disc edema in a child with Sturge Weber syndrome and congenital cyanotic heart disease after cardiac surgery
المؤلفون: Manu Saini, Mohit Dogra, Kulbhushan Saini, Ravindra Kumar Jaiswal
المصدر: American Journal of Ophthalmology Case Reports, Vol 36, Iss , Pp 102147- (2024)
بيانات النشر: Elsevier, 2024.
سنة النشر: 2024
المجموعة: LCC:Ophthalmology
مصطلحات موضوعية: Transposition of great arteries 1, Sturge-Weber syndrome 2, Congenital cyanotic heart disease 3, Hemodynamic alteration 4, Vascular abnormalities 5, And systemic oxygenation 6, Ophthalmology, RE1-994
الوصف: Purpose: We present a case of unilateral exudative retinal detachment and optic disc edema with choroidal hemangioma in a patient concurrently diagnosed with Transposition of the Great Arteries (TGA) and Sturge-Weber Syndrome (SWS). Observations: A seven-year-old patient presented with complaints of headache, photophobia, periocular pain, and diminished vision, accompanied by redness and lid swelling following a febrile illness. Ophthalmic examination revealed abnormally branched episcleral vasculature, exudative retinal detachment, optic disc edema and radiologically evident thickening of the choroid of the right eye. Systemic evaluation revealed hypoxia with cyanosis and clubbed fingers. The patient underwent cardiac interventions, including Fontan and Bidirectional Glenn procedures, aimed at improving systemic oxygenation. The patient's condition showed remarkable improvement following cardiac surgery. The surgical interventions not only improved systemic oxygenation but also resulted in the amelioration of ocular symptoms and visual improvement. Ophthalmic improvements included the resolution of abnormally branched episcleral vasculature, regression of exudative retinal detachment, and reduction in optic disc edema. Conclusion and Importance: This case highlights the intricate relationship between hemodynamic and vascular abnormalities of the eye and the clinical manifestations observed in patients presenting with the unique combination of SWS and TGA.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2451-9936
Relation: http://www.sciencedirect.com/science/article/pii/S2451993624001579; https://doaj.org/toc/2451-9936
DOI: 10.1016/j.ajoc.2024.102147
URL الوصول: https://doaj.org/article/5bc87f75df2845ce83930dc071f793f4
رقم الانضمام: edsdoj.5bc87f75df2845ce83930dc071f793f4
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:24519936
DOI:10.1016/j.ajoc.2024.102147