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Bilateral Hypertensive Papillopathy with Diffuse Retinal Telangiectasis.

Utku Limon¹, Betul Ilkay Sezgin Akcay¹

¹Department of Retina, University of Health Sciences Umraniye Training and Research Hospital Eye Clinic, Istanbul, Türkiye.

Beyoglu Eye Journal

|January 11, 2023

Summary

This summary is machine-generated.

A 16-year-old type 1 diabetic patient experienced sudden vision loss due to optic nerve swelling and telangiectatic vessels. These symptoms resolved with hypertension management, indicating a link between blood pressure and ocular health in diabetics.

Keywords:

Hypertensive papillopathy optic disk telangiectasic vessels

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Area of Science:

Ophthalmology
Endocrinology
Vascular Biology

Background:

Type 1 diabetes mellitus (T1DM) is a chronic endocrine disorder.
Ocular complications in T1DM can significantly impact vision.
Systemic health, including blood pressure, may influence retinal vascular changes.

Observation:

A 16-year-old female with T1DM presented with acute, bilateral, painless vision loss.
Fundus examination revealed pale, swollen optic discs and superficial telangiectatic vessels extending from the optic disc.
Visual acuity was significantly reduced in both eyes.

Findings:

The telangiectatic vessels resolved spontaneously within 10 days.
Resolution occurred concurrently with the regulation of systemic hypertension.
No specific ocular treatment was required for the vascular changes.

Implications:

This case highlights a potential link between systemic hypertension and optic disc telangiectasias in young type 1 diabetics.
Effective blood pressure control may be crucial in managing certain ocular manifestations of T1DM.
Further research into the vascular mechanisms underlying these changes is warranted.