Unilateral Macular Star in a Case of Hypertension and Retinitis Pigmentosa

Chawla, Rohan; Tripathy, Koushik; Chaudhary, Sunil; Phuljhele, Swati; Venkatesh, Pradeep

doi:10.3109/08820538.2015.1132331

Cited by 2 publications

(2 citation statements)

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“…Measuring the blood pressure repeatedly should be a part of the initial work-up even in a young patient with macular star and absence of systemic hypertension history. It is also noteworthy that a unilateral macular star can also be a manifestation of malignant hypertension [28].…”

Section: Malignant Hypertensionmentioning

confidence: 99%

Stellate nonhereditary idiopathic foveomacular retinoschisis and an approach to the differential diagnosis of macular star

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Salabati

et al. 2022

Current Opinion in Ophthalmology

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Purpose of reviewThis review aims to introduce stellate nonhereditary idiopathic foveomacular retinoschisis (SNIFR) and its differential diagnosis. We summarize findings from case reports and series published in the last few years on the clinical and imaging findings in SNIFR. Recent findingsSNIFR presents as either a unilateral or bilateral macular star on fundus examination without clinical or imaging evidence of exudation or frank vitreomacular traction. optical coherence tomography (OCT) imaging shows schisis cavities in the Henle fibre and outer plexiform layers that correspond to the stellate en face findings. Visual acuity is usually minimally affected, and the presence of significant vision loss should prompt high clinical suspicion for alternate diagnoses. SummarySNIFR is a recently characterized clinical entity that serves as an important addition to the differential diagnosis of a macular star. It is a diagnosis of exclusion and should be distinguished from other causes of macular star such as neuroretinitis, vitreomacular traction, ocular manifestations of malignant hypertension, congenital juvenile X-linked macular schisis, myopic maculopathy, optic pit maculopathy, nicotinic acid maculopathy or taxane maculopathy among others.

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Section: Malignant Hypertensionmentioning

confidence: 99%

Stellate nonhereditary idiopathic foveomacular retinoschisis and an approach to the differential diagnosis of macular star

Light

Pyfer

Salabati

et al. 2022

Current Opinion in Ophthalmology

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“…Superficial retinal hemorrhages on or adjacent to the lesions were seen in all eyes. Nine eyes had some amount of hard exudates deposited in a radial orientation at the fovea (macular star) 16 at presentation [ Figures 4(a) and 5(a) ]. No patient gave a history of insect bite or exposure to a cat.…”

Section: Group 3 (10 Eyes Of 8 Patients; Cases 6–13): Cases Of Focal mentioning

confidence: 99%

An imaging-based treatment algorithm for posterior focal retinitis

et al. 2018

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Background:In this paper, our aim was to describe an imaging-based empirical approach for categorizing and initiating treatment of immunocompetent patients with posterior focal retinitis, prior to the availability of results of expensive laboratory investigations.Materials and methods:The hospital records of 13 patients with posterior focal retinitis were reviewed.Results:Of the 13 patients, 9 were women and 4 were men. The mean age was 24 ± 8 years. Based on similarities in clinical presentation and imaging, we categorized our cases into three groups with different first-line therapeutic strategies. In the first group, patients had presumed toxoplasmosis (treated with oral cotrimoxazole); in the second group, patients had presumed viral (herpetic) etiology (treated with oral valacyclovir); and in the third group, patients had presumed nonherpetic, nontoxoplasma retinitis (treated with oral doxycycline). Positive serology results included Rickettsia (two patients), Borrelia (one patient), Toxoplasma (two patients), and herpes simplex virus (one patient).Conclusion:An empirical approach for early initiation of therapy in retinitis cases based on imaging features is described.

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Unilateral Macular Star in a Case of Hypertension and Retinitis Pigmentosa

Abstract: Unilateral macular star may be seen in hypertension and may simulate neuroretinitis in the clinical setting.

Cited by 2 publications

References 2 publications

Stellate nonhereditary idiopathic foveomacular retinoschisis and an approach to the differential diagnosis of macular star

Stellate nonhereditary idiopathic foveomacular retinoschisis and an approach to the differential diagnosis of macular star

An imaging-based treatment algorithm for posterior focal retinitis

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