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Presumed retinal lead poisoning: a case report

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Abstract

Purpose

To describe a case of presumed retinal lead poisoning.

Methods

Clinical examination, optical coherence tomography, fundus autofluorescence, fluorescein angiography, and electroretinography were used to study a 42-year-old male with the complaint of bilateral reduced vision following systemic lead poisoning.

Results

The fundus examination showed venous tortuosity, as well as macular atrophy, and pigmentary changes in his both eyes. Optical coherence tomography revealed retinal thinning, outer retinal and retinal pigment epithelium atrophy, as well as foveal schitic changes. Blue autofluorescence showed moderately hypoautofluorescence in peripapillary area of both eyes. Fluorescein angiogram showed a leopard-like pattern of hypo- and hyperfluorescence in the posterior pole. Electroretinogram showed a moderate reduction in photopic and scotopic responses.

Conclusions

The most probable diagnosis of this case is early onset retinal lead poisoning.

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Funding

No funding was received for this work.

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Authors and Affiliations

  1. Retina and Vitreous Service, Farabi Comprehensive Center of Excellence in Ophthalmology, Tehran University of Medical Sciences, Qazvin square, Tehran, 1336616351, Iran

    Fatemeh Bazvand & Zahra Mahdizad

Authors
  1. Fatemeh Bazvand
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  2. Zahra Mahdizad
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Correspondence to Zahra Mahdizad.

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The authors declare that they have no conflict of interest.

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Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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Bazvand, F., Mahdizad, Z. Presumed retinal lead poisoning: a case report. Doc Ophthalmol 145, 71–76 (2022). https://doi.org/10.1007/s10633-022-09878-8

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  • DOI: https://doi.org/10.1007/s10633-022-09878-8

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