Severe proliferative retinopathy in a patient with advanced muscular dystrophy
- K Louie1,
- R S Apte2,
- K Mori3,
- P Gehlbach4
- 1Johns Hopkins University School of Medicine, Baltimore, MD, USA
- 2Department of Ophthalmology Washington University School of Medicine, St Louis, MO, USA
- 3Department of Ophthalmology, Saitama Medical School, Iruma, Saitama, Japan
- 4Departments of Ophthalmology The Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Correspondence to: Peter Gehlbach MD PhD Johns Hopkins University School of Medicine, 600 N Wolfe Street, Baltimore, MD 21287-9277, USA; pgelbachjhmi.edu
- Accepted 4 May 2004
The patient is a 25 year old white man with Duchenne muscular dystrophy (DMD), complicated by respiratory failure requiring ventilatory assistance and impaired cardiac function. His ocular complaints were “floaters” and decreased vision over the preceding 6 weeks. He had no history of ocular disease or trauma. The patient’s level of alertness was reported to routinely fluctuate but no new neurological findings were present. The best corrected visual acuity was count fingers in the right eye and 20/70 in the left eye. The intraocular pressures were 14 and 8 mm Hg. The anterior segment examination was unremarkable with no neovascularisation of the iris or angle. Biomicroscopy revealed bilateral vitreous haemorrhage. Indirect ophthalmoscopy showed the retinal periphery to be attached in both eyes. The optic discs and macula …
