Stellate Neuroretinitis Revealing Hypertension in a Young Man: A Case Report
Y. SAFOINE
Faculty of Medicine and Pharmacy, Department of Adult Ophthalmology, Hospital August 20, Ibn Rochd University Hospital, Casablanca, Morocco.
S. ELHACHIMI *
Faculty of Medicine and Pharmacy, Department of Adult Ophthalmology, Hospital August 20, Ibn Rochd University Hospital, Casablanca, Morocco.
A. HAMMOUCH
Faculty of Medicine and Pharmacy, Department of Adult Ophthalmology, Hospital August 20, Ibn Rochd University Hospital, Casablanca, Morocco.
M.A. BENTOUHAMI
Faculty of Medicine and Pharmacy, Department of Adult Ophthalmology, Hospital August 20, Ibn Rochd University Hospital, Casablanca, Morocco.
Y.HIDAN. A
Faculty of Medicine and Pharmacy, Department of Adult Ophthalmology, Hospital August 20, Ibn Rochd University Hospital, Casablanca, Morocco.
MCHACHI
Faculty of Medicine and Pharmacy, Department of Adult Ophthalmology, Hospital August 20, Ibn Rochd University Hospital, Casablanca, Morocco.
L. BENHMIDOUNE
Faculty of Medicine and Pharmacy, Department of Adult Ophthalmology, Hospital August 20, Ibn Rochd University Hospital, Casablanca, Morocco.
R. RACHID
Faculty of Medicine and Pharmacy, Department of Adult Ophthalmology, Hospital August 20, Ibn Rochd University Hospital, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Stellate neuroretinitis is a rare but potentially serious retinal condition that can occur due to a variety of factors, including severe arterial hypertension. Retinal lesions in the shape of, particularly around the optic disc, and ispathologies. In this case, we present a 20-year-old man with bilateral stellate neuroretinitis. Acuity and characteristic retinal exudates. He also had a history of tuberculosis and exposure to cats. The patient was initially treated with corticosteroids.Investigations revealed malignant hypertension, which was subsequently managed with antihypertensive therapy. This case highlights the importance of early diagnosis and appropriate management to prevent permanent vision loss.
Stellate neuroretinitis is a rare but potentially serious retinal condition that can result from a variety of factors, including severe hypertension. The condition is characterized by star-shaped retinal lesions, particularly around the optic disc, and is often associated with vascular pathologies. In this case, we present a 20-year-old man with bilateral stellate neuroretinitis. His condition manifested as decreased visual acuity and characteristic retinal exudates. He had a history of tuberculosis and exposure to cats. The patient was initially treated with corticosteroids, but further investigations revealed malignant hypertension, which was subsequently managed with antihypertensive therapy. This case highlights the important role of hypertension in retinal lesions, and the need for early diagnosis and appropriate management to prevent permanent vision loss.
Keywords: Stellate neuroretinitis, antihypertensive therapy, retinal lesions, corticosteroids