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Purpose: To describe ischemic retinopathy in a patient with tetralogy of Fallot. Design: Interventional case report. Testing: Clinical and imaging evaluation. Main Outcome Measures: Clinical, imaging, and laboratory findings in a patient with tetralogy of Fallot. Results: A 20-year-old female patient with tetralogy of Fallot had progressive visual loss of 3 weeks duration. Bilateral examinatio n revealed dilated, tortuous, conjunctival vessels; prominent anterior chamber reaction; iris neovascularization; posterior synechia; retinal vascular tortuosity in both eyes; and inferior exudative retinal detachment. Fluorescein angiograp hy revealed delayed retinal and choroidal filling. The working diagnosis was ischemic retinopathy with uveitis. The patient was treated for 6 months with a high-dose oral corticosteroid combined with a topical corticosteroid, a topical myd riatic, and panretinal photocoagulation. Conjunctival, vascular congestion subsided with a decrease in anterior chamber reaction. The inferior, exudative retinal detachment resolved, and vision was restored. Conclusions: Retinal ischemic syndrome combined with uveitis can develop in patients with tetralogy of Fallot. Treatment can restore vision in such patients.
Purpose: To describe ischemic retinopathy in a patient with tetralogy of Fallot. Design: Interventional case report. Testing: Clinical and imaging evaluation. Main Outcome Measures: Clinical, imaging, and laboratory findings in a patient with tetralogy of Fallot. Results: A 20 -year-old female patient with tetralogy of Fallot had progressive visual loss of 3 weeks duration. Bilateral examinatio n revealed dilated, tortuous, conjunctival vessels; prominent anterior chamber reaction; iris neovascularization; posterior synechia; retinal vascular tortuosity in both eyes; and inferior The working was was for ischemic retinopathy with uveitis. The patient was treated for 6 months with a high-dose oral corticosteroid combined with a topical corticosteroid, a topical myd riatic, and panretinal photocoagulation. Conjunctival, vascular congestion subsided with a decrease in anterior chamber re action. The inferior, exudative retinal detachment resolved, and vision was restored. Conclusions: Retinal ischemic syndrome combined with uveitis can develop in patients with tetralogy of Fallot. Treatment can restore vision in such patients.