ABSTRACT
INTRODUCTION: Brimonidine is a commonly used drug for glaucoma treatment, which has been linked to ocular autoimmune disorders like uveitis and conjunctivitis. Corneal pathology under brimonidine is generally less common. CASE DESCRIPTION: Here, we report a 78 -year-old male patient suffering from immune corneal stromal inflammation with hypotony and resulting hypotonic maculopathy after 6 weeks after introduction of brimonidine treatment. Systemic work-up for system autoimmune and infectious diseases was negative. We discontinued brimonidine and administered topical prednisolone under which inflammatory corneal signs and intraocular pressure normalized. Chorioretinal folds persisted after 9 months. CONCLUSION: Our case report suggests monitoring patients under brimonidine for sterile corneal infiltration.
Subject(s)
Conjunctivitis , Macular Degeneration , Ocular Hypertension , Retinal Diseases , Male , Humans , Aged , Brimonidine Tartrate/therapeutic use , Cornea , Intraocular Pressure , Conjunctivitis/diagnosis , Ophthalmic SolutionsABSTRACT
Introducción: la retinopatía tipo Purtscher es una complicación asociada a varias enfermedades. En muchos casos el tratamiento de la enfermedad de base es suficiente para la resolución de la retinopatía. Objetivo: reporte de caso que sugiere la validez de la OCT para el estudio de la retinopatía tipo Purtscher. Diseño del estudio: reporte de caso. Resumen del caso: hombre de 36 años presentó una retinopatía tipo Purtscher asociada a glomerulonefritis aguda postestreptocóccica. La mejor agudeza visual corregida (MAVC) era de contar dedos en ambos ojos (AO). La funduscopia reveló manchas algodonosas, hemorragias intrarretinianas y retinianas superficiales. La tomografía de coherencia óptica (OCT) mostró edema macular en AO. Realizamos el seguimiento el primer y tercer mes tras la presentación inicial hasta la resolución de la retinopatía sin tratamiento oftalmológico. Conclusión: la OCT es un método no invasivo útil en el estudio de la retinopatía tipo Purtscher.
Background: Purtscher-like retinopathy is a complication associated with several diseases. In many cases the treatment of the underlying desease is sufficient for the resolution of retinopathy. Objective: to report a case and suggest the use of optical coherence tomography (OCT) for the study of Purtscher-like retinopathy. Study design: a case report Case summary: a 36-year-old man presented a Purtscher-like retinopathy associated with acute post-streptococcal glomerulonephritis. The best corrected visual acuity (BCVA) was to count fingers in both eyes (OU). Funduscopy revealed cotton spots, intraretinal hemorrhages and superficial retinal hemorrhages. Optical coherence tomography (OCT) showed macular edema in OU. We monitored the first and third month after the initial presentation until the resolution of retinopathy without ophthalmological treatment. Conclusion: OCT is a non-invasive method useful in the study of Purtscherlike retinopathy.
