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Войти в исследования Ophthalmology · 2000
Fibromuscular dysplasia: a rare cause of cilioretinal artery occlusion in childhood.
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Warrasak S, Tapaneya-Olarn W, Euswas A, Sriphojanart S, Sirikulchayanonta V, Leelachaikul P
Аннотация
OBJECTIVE: To report a case of cilioretinal artery occlusion with angiographic findings characteristic of the "string of beads" associated with renovascular hypertension secondary to fibromuscular dysplasia of the renal artery in a child.
DESIGN: Case report.
INTERVENTION: The patient underwent ex vivo renal artery reconstruction with saphenous vein graft and reimplantation.
MAIN OUTCOME MEASURES: The main clinical outcomes were control of severe hypertension, reversible hypertensive retinopathy, and improvement of vision.
RESULTS: Revascularization of the kidney improved renal function, and renovascular hypertension was clearly improved. Visual acuity improved to 20/200.
CONCLUSIONS: A child with hypertensive retinopathy and arterial occlusion in the retina should undergo investigation to rule out a surgically curable hypertension. Magnetic resonance angiography of extrarenal vessels may reveal other sites of involvement of fibromuscular dysplasia. Evaluation and early diagnosis of renovascular hypertension will prevent severe end-organ damage.
DESIGN: Case report.
INTERVENTION: The patient underwent ex vivo renal artery reconstruction with saphenous vein graft and reimplantation.
MAIN OUTCOME MEASURES: The main clinical outcomes were control of severe hypertension, reversible hypertensive retinopathy, and improvement of vision.
RESULTS: Revascularization of the kidney improved renal function, and renovascular hypertension was clearly improved. Visual acuity improved to 20/200.
CONCLUSIONS: A child with hypertensive retinopathy and arterial occlusion in the retina should undergo investigation to rule out a surgically curable hypertension. Magnetic resonance angiography of extrarenal vessels may reveal other sites of involvement of fibromuscular dysplasia. Evaluation and early diagnosis of renovascular hypertension will prevent severe end-organ damage.