A Case of Retinal Hemorrhage after Climbing the Himalaya Mountains

ABSTRACT

High altitude exposure may produce multiple symptoms of mountain sickness. A 27-year-old man presented with metamorphopsia in his left eye which occurred following climbing the Himalaya Mountains. His best corrected visual acuity was right eye, 0.9 and left eye, 0.3. Ophthalmoscopy disclosed retinal hemorrhages in both eyes and a subfoveal hemorrhage in left eye. Fluorescein angiography showed blockage of fluorescence caused by retinal hemorrhages. Indocyanin green angiography showed no hot spot. One month later, best corrected visual acuity of his left eye was 0.4 and the degree of metamorphopsia decreased. Thus we report the case of mountain sickness who showed retinal hemorrhage and subfoveal hemorrhage with a review of available literatures.