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Case Reports
. 1997 Mar;123(3):418-20.
doi: 10.1016/s0002-9394(14)70149-7.

High-altitude retinopathy

Affiliations
Case Reports

High-altitude retinopathy

G E Lang et al. Am J Ophthalmol. 1997 Mar.

Abstract

Purpose: To report a patient with high-altitude retinopathy.

Methods: A 30-year-old man with high-altitude retinopathy was examined and treated.

Results: After spending 2 weeks at an altitude of 7,000 meters and then descending to sea level, the patient's visual acuity was RE, 20/20 and LE, 20/50. Intraretinal hemorrhages in both eyes and a scotoma in the left eye were found. Blood cell count was normal, but hematocrit had increased to 53%. The patient was treated with isovolemic hemodilution, pentoxifylline, and aspirin, which reduced hematocrit to 41%. Visual acuity and visual field returned to normal, and intraretinal hemorrhages resolved.

Conclusions: High-altitude hemoconcentration should be treated in patients with high-altitude retinopathy.

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