APIK Journal of Internal Medicine

PICTORIAL CME
Year
: 2020  |  Volume : 8  |  Issue : 3  |  Page : 147--148

Congenital tortuous retinal vessels with blurred disc margins and a pale disc


Anubhav Chauhan, Anchit Wapa, Deepak Sharma, Pankaj Thakur 
 Department of Ophthalmology, Shri Lal Bahadur Shastri Government Medical College and Hospital, Nerchowk, Mandi, Himachal Pradesh, India

Correspondence Address:
Dr. Anubhav Chauhan
Department of Ophthalmology, Shri Lal Bahadur Shastri Government Medical College and Hospital, Nerchowk, Mandi, Himachal Pradesh
India




How to cite this article:
Chauhan A, Wapa A, Sharma D, Thakur P. Congenital tortuous retinal vessels with blurred disc margins and a pale disc.APIK J Int Med 2020;8:147-148


How to cite this URL:
Chauhan A, Wapa A, Sharma D, Thakur P. Congenital tortuous retinal vessels with blurred disc margins and a pale disc. APIK J Int Med [serial online] 2020 [cited 2020 Sep 29 ];8:147-148
Available from: http://www.ajim.in/text.asp?2020/8/3/147/289785


Full Text



A 14-year-old female was referred from the department of pediatrics with a history of headache off and on. Her complete pediatric workup including neuroimaging was within normal limits, and she was prescribed tablet paracetamol. Her visual acuity was 6/6 in both the eyes. Pupillary reactions, ocular movements, color vision, intraocular pressure, and slit-lamp examination were within normal limits. Fundus examination of both eyes revealed dilated and tortuous retinal venules with near-normal caliber and pattern of retinal arterioles. Bilateral disc margins were also blurred, and the optic disc had a pale appearance [Figure 1] and [Figure 2]. She was subsequently followed up over a period of few weeks, but the fundus picture was the same. No retinal hemorrhages, cotton wool spots, hard exudates, or microaneurysms were seen. A diagnosis of bilateral congenital tortuous retinal vessels with blurred disc margin and a pale disc was made. A repeat laboratory workup plus optical coherence tomography and perimetry was within normal limits.{Figure 1}{Figure 2}

 Discussion



Various types of congenital anomalies of retinal vessels have been reported. These include hereditary retinal artery tortuosity, inherited retinal venous beading, hereditary hemorrhagic telangiectasis, congenital prepapillary vascular loops, congenital retinal macrovessels, and arteriovenous communications.[1] Patients with congenital tortuous retinal vessels show no change in the appearance and shape of the vessels over a period of time and the visual acuity remains unaffected.[2] This is a rare, nonprogressive retinal vascular anomaly, and it mimics central retinal vein occlusion and hypertensive retinopathy.[3]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

1Hsieh YT, Yang CM. The clinical study of congenital looped/coiled peripapillary retinal vessels. Eye (Lond) 2005;19:906-9.
2Xu N, Cui Y, Gao Z. Bilateral congenital venous tortuosity and dilatation combined with cilioretinal artery: A photographic essay. Int Med Case Rep J 2016;9:91-3.
3Dogra M, Dogra MR. Congenital tortuous retinal vessels. Indian J Ophthalmol 2019;67:277.