Nicholson Luke, Mathews Divya
Cardiff Eye Unit, University Hospital Wales, Cardiff, UK.
BMJ Case Rep. 2013 Aug 9;2013:bcr2013200159. doi: 10.1136/bcr-2013-200159.
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.
我们报告一例男性患者，患有与过敏性紫癜相关的双侧黄斑囊样水肿和棉絮斑。他双侧视力下降，右眼为0.2（6/9.5），左眼为0.5（6/19）。他患有慢性高血压，平均血压为150/90。其血压曾升至180/110，经治疗后降至164/99。没有恶性高血压性视网膜病变的其他体征。他接受了口服泼尼松龙治疗，第二天视力有显著改善。两天后进行的客观测量显示双侧视力为-0.10（6/4.8），黄斑水肿消退。
