Abstract：
:A 32-year-old obese woman with hypertension and a three-year history of pseudotumor cerebri developed bilateral juxtapapillary subretinal neovascular membranes. To our knowledge, this is the first reported case of bilateral subretinal neovascular membranes complicating the course of this disease. The subretinal neovascular membrane in the left eye spontaneously involuted, but because the membrane in the right eye threatened the foveola, the patient underwent argon-laser photocoagulation. The subretinal fluid and hemorrhage progressively resolved, the membrane was replaced by fibrous tissue, and visual acuity improved. The pathogenesis of the subretinal neovascular membranes was presumably secondary to pressure deformity of the border of Bruch's membrane at the optic disk, creating a discontinuity of normal anatomic apposition of the chorioretinal layers. This anatomic dehiscence, coupled with hypoxia created by axonal tissue swelling and resultant impaired vascular perfusion of the tissues, led to the development of subretinal neovascular membranes.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Morse PH,Leveille AS,Antel JP,Burch JVdoi
10.1016/0002-9394(81)90282-8subject
Has Abstractpub_date
1981-03-01 00:00:00pages
312-7issue
3eissn
0002-9394issn
1879-1891pii
0002-9394(81)90282-8journal_volume
91pub_type
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