Flecked Retina
- 1 January 1975
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Ophthalmology (1950)
- Vol. 93 (1), 26-31
- https://doi.org/10.1001/archopht.1975.01010020030004
Abstract
Calcium oxalate crystals were demonstrated in the retinal pigment epithelium (RPE) of a 66-year-old white man with changes in the fundus oculi consistent with the flecked retina syndrome. The patient had a history of rheumatoid arthritis, mild hypertension, and mild renal insufficiency presumed due to his hypertension. He underwent prolonged abdominal surgery under methoxyflurane anesthesia, following which he developed acute irreversible renal failure. Calcium oxalate crystals were demonstrated postoperatively in a kidney biopsy specimen. He subsequently was maintained on renal dialysis with decreasing renal function. Several weeks before his death fundus examination revealed a picture suggestive of a flecked retina syndrome. At autopsy, widespread oxalosis was found including crystals in the RPE and in some areas in the neural retina and ciliary epithelium.Keywords
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