Retinal changes in various altitude illnesses

This study aimed to evaluate the retinal changes associated with altitude illness in young soldiers. A total of 50 young soldiers with altitude illness, who were referred to a tertiary care hospital between October 2003 and January 2006, were included in the study. All the soldiers were male. The me...

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Veröffentlicht in:Singapore medical journal 2011-09, Vol.52 (9), p.685-688
Hauptverfasser: ARORA, R, JHA, K. N, SATHIAN, B
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SATHIAN, B
description This study aimed to evaluate the retinal changes associated with altitude illness in young soldiers. A total of 50 young soldiers with altitude illness, who were referred to a tertiary care hospital between October 2003 and January 2006, were included in the study. All the soldiers were male. The mean age of the subjects was 30.3 (range 20-44) years. Nine (18 percent) soldiers had acute mountain sickness (AMS), nine (18 percent) had high-altitude pulmonary oedema (HAPE) and 20 (40 percent) had high-altitude cerebral oedema (HACE). Retinal haemorrhages were observed in 29 soldiers (58 percent). Among these 29 cases, two also had symptoms of AMS, five had symptoms of HAPE and twelve had symptoms of HACE. High-altitude retinal haemorrhage alone as a sign of altitude illness was seen in ten cases. Severe grades of high-altitude retinopathy were found mostly in soldiers who suffered from HAPE and HACE. Visual recovery was complete in 22 (76 percent) soldiers. High-altitude retinal haemorrhage was associated with partial visual impairment in five (17 percent) soldiers and permanent visual loss in two (seven percent) soldiers. Retinal haemorrhages were noticed in 58 percent of soldiers with altitude illness. The association of severe grades of high-altitude retinopathy with HAPE and HACE was statistically significant. Branch retinal vein occlusion with macular oedema is an additional finding in our study, which has not been previously reported.
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Severe grades of high-altitude retinopathy were found mostly in soldiers who suffered from HAPE and HACE. Visual recovery was complete in 22 (76 percent) soldiers. High-altitude retinal haemorrhage was associated with partial visual impairment in five (17 percent) soldiers and permanent visual loss in two (seven percent) soldiers. Retinal haemorrhages were noticed in 58 percent of soldiers with altitude illness. The association of severe grades of high-altitude retinopathy with HAPE and HACE was statistically significant. 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N</creatorcontrib><creatorcontrib>SATHIAN, B</creatorcontrib><title>Retinal changes in various altitude illnesses</title><title>Singapore medical journal</title><addtitle>Singapore Med J</addtitle><description>This study aimed to evaluate the retinal changes associated with altitude illness in young soldiers. A total of 50 young soldiers with altitude illness, who were referred to a tertiary care hospital between October 2003 and January 2006, were included in the study. All the soldiers were male. The mean age of the subjects was 30.3 (range 20-44) years. Nine (18 percent) soldiers had acute mountain sickness (AMS), nine (18 percent) had high-altitude pulmonary oedema (HAPE) and 20 (40 percent) had high-altitude cerebral oedema (HACE). Retinal haemorrhages were observed in 29 soldiers (58 percent). Among these 29 cases, two also had symptoms of AMS, five had symptoms of HAPE and twelve had symptoms of HACE. High-altitude retinal haemorrhage alone as a sign of altitude illness was seen in ten cases. Severe grades of high-altitude retinopathy were found mostly in soldiers who suffered from HAPE and HACE. Visual recovery was complete in 22 (76 percent) soldiers. High-altitude retinal haemorrhage was associated with partial visual impairment in five (17 percent) soldiers and permanent visual loss in two (seven percent) soldiers. Retinal haemorrhages were noticed in 58 percent of soldiers with altitude illness. The association of severe grades of high-altitude retinopathy with HAPE and HACE was statistically significant. Branch retinal vein occlusion with macular oedema is an additional finding in our study, which has not been previously reported.</description><subject>Adult</subject><subject>Altitude</subject><subject>Altitude Sickness - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Brain Edema - physiopathology</subject><subject>General aspects</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. 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Cerebral palsy</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Military Personnel</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Odds Ratio</topic><topic>Ophthalmology</topic><topic>Retina - anatomy &amp; histology</topic><topic>Retina - physiopathology</topic><topic>Retinal Diseases - diagnosis</topic><topic>Retinal Diseases - physiopathology</topic><topic>Retinal Hemorrhage - diagnosis</topic><topic>Retinal Hemorrhage - physiopathology</topic><topic>Retinopathies</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ARORA, R</creatorcontrib><creatorcontrib>JHA, K. 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Retinal haemorrhages were observed in 29 soldiers (58 percent). Among these 29 cases, two also had symptoms of AMS, five had symptoms of HAPE and twelve had symptoms of HACE. High-altitude retinal haemorrhage alone as a sign of altitude illness was seen in ten cases. Severe grades of high-altitude retinopathy were found mostly in soldiers who suffered from HAPE and HACE. Visual recovery was complete in 22 (76 percent) soldiers. High-altitude retinal haemorrhage was associated with partial visual impairment in five (17 percent) soldiers and permanent visual loss in two (seven percent) soldiers. Retinal haemorrhages were noticed in 58 percent of soldiers with altitude illness. The association of severe grades of high-altitude retinopathy with HAPE and HACE was statistically significant. Branch retinal vein occlusion with macular oedema is an additional finding in our study, which has not been previously reported.</abstract><cop>Singapore</cop><pub>Singapore Medical Association</pub><pmid>21947148</pmid><tpages>4</tpages></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Altitude
Altitude Sickness - physiopathology
Biological and medical sciences
Brain Edema - physiopathology
General aspects
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Hypertension, Pulmonary - physiopathology
Male
Medical sciences
Military Personnel
Nervous system (semeiology, syndromes)
Neurology
Odds Ratio
Ophthalmology
Retina - anatomy & histology
Retina - physiopathology
Retinal Diseases - diagnosis
Retinal Diseases - physiopathology
Retinal Hemorrhage - diagnosis
Retinal Hemorrhage - physiopathology
Retinopathies
Young Adult
title Retinal changes in various altitude illnesses
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