Optic atrophy secondary to severe hypertensive retinopathy in a case of Cushing syndrome Kunihiko Nakamura 1 , Yukihiko Mashima 1 , Harumi Miyakawa 2 , Hirokazu Okada 3 , Hiromichi Suzuki 3 , Atsuo Saruta 3 1Dept of Ophthalmol, Keio Univ Sch of Med 2Dept of Urol, Keio Univ Sch of Med 3Dept of Int Med, Keio Univ Sch of Med pp.1917-1920
Published Date 1993/12/15
DOI https://doi.org/10.11477/mf.1410901978
  • Abstract
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A 37-year-old woman presented with visual impairment to 0.01 in both eyes. She also showed obesity, moon face, hypertrichosis and blood pres-sure of 250/140mmHg. Funduscopy showed diffuse retinal exudation, narrowing of retinal vessels and pallor of optic disc in both eyes. She was diagnosed as Cushing syndrome secondary to adrenocortical adenoma. She eventually underwent tumor removal and medication for systemic hypertension. Lower-ing of blood pressure was followed by improvement in retinal exudates. The visual acuity improved only to 0.1 in each eye because of optic atrophy.

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