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Seminars in ophthalmology · Jan 2017
Case ReportsUnilateral Macular Star in a Case of Hypertension and Retinitis Pigmentosa.
- Rohan Chawla, Koushik Tripathy, Sunil Chaudhary, Swati Phuljhele, and Pradeep Venkatesh.
- a Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences , New Delhi , India.
- Semin Ophthalmol. 2017 Jan 1; 32 (5): 535-536.
PurposeTo describe a case of hypertension and retinitis pigmentosa presenting with a unilateral macular star.MethodsCase report.ResultsA 17-year-old female with chronic kidney disease and hypertension presented with a mild blurring of vision in the left eye. There was a history of night blindness. Both eyes had optic disc pallor, arteriolar attenuation, and peripheral bony spicules suggestive of the triad of retinitis pigmentosa. Macular star was seen in the left eye alone. We ascribe the macular star to hypertension as the patient had only a mild decrease in vision, no relative afferent pupillary defect, and similar visual evoked response amplitude and latency in both eyes.ConclusionUnilateral macular star may be seen in hypertension and may simulate neuroretinitis in the clinical setting.
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