Unilateral Macular Star in a Case of Hypertension and Retinitis Pigmentosa

ABSTRACT

Purpose: To describe a case of hypertension and retinitis pigmentosa presenting with a unilateral macular star. Methods: Case report. Results: A 17-year-old female with chronic kidney disease and hypertension presented with a mild blurring of vision in the left eye. There was a history of night blindness. Both eyes had optic disc pallor, arteriolar attenuation, and peripheral bony spicules suggestive of the triad of retinitis pigmentosa. Macular star was seen in the left eye alone. We ascribe the macular star to hypertension as the patient had only a mild decrease in vision, no relative afferent pupillary defect, and similar visual evoked response amplitude and latency in both eyes. Conclusion: Unilateral macular star may be seen in hypertension and may simulate neuroretinitis in the clinical setting.

Keywords:

• Hypertensive retinopathy
• malignant hypertension
• neuroretinitis
• optic disc edema with macular star
• pigmentary retinopathy

DECLARATION OF INTEREST

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.