April 2010
Volume 51, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2010
High Altitude Retinopathy in a Group of Experienced Climbers
Author Affiliations & Notes
  • T.-Y. Ho
    Department of Ophthalmology,
    Taipei Veterans General Hospital, Taipei, Taiwan
    National Yang-Ming University School of Medicine, Taipei, Taiwan
  • P.-K. Lin
    Department of Ophthalmology,
    Taipei Veterans General Hospital, Taipei, Taiwan
    National Yang-Ming University School of Medicine, Taipei, Taiwan
  • S.-M. Lee
    Department of Ophthalmology,
    Taipei Veterans General Hospital, Taipei, Taiwan
    National Yang-Ming University School of Medicine, Taipei, Taiwan
  • W.-F. Kao
    Department of Emergency Medicine,
    Taipei Veterans General Hospital, Taipei, Taiwan
    National Yang-Ming University School of Medicine, Taipei, Taiwan
  • Footnotes
    Commercial Relationships  T.-Y. Ho, None; P.-K. Lin, None; S.-M. Lee, None; W.-F. Kao, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2010, Vol.51, 5348. doi:
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      T.-Y. Ho, P.-K. Lin, S.-M. Lee, W.-F. Kao; High Altitude Retinopathy in a Group of Experienced Climbers. Invest. Ophthalmol. Vis. Sci. 2010;51(13):5348.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : Visual disturbances after high altitude exposure were first reported in 1969. Manifestations may include retinal hemorrhage, papilledema, and vitreous hemorrhage. We observed various high altitude retinopathies in a group of experienced climbers.

Methods: : We observed a group of six experienced climbers who ascended Mt. Aconcagua to an altitude of 6962 meters in February 2007. Visual acuity study, intraocular pressure study, visual field study, nerve fiber layer analysis, eye Doppler, laboratory studies, fundus photography, and intravenous fluorescein angiography were performed on the climbers before and after their exposures to high altitude.

Results: : In all six study subjects, retinal vascular engorgement and tortuosity were present in varying degrees in both eyes. One of the climbers had both retinal hemorrhage and pulmonary edema. Of the two subjects who had visual field defects, one had severe nerve fiber layer defects of both eyes. Furthermore, laboratory studies of this climber showed high level of anti-phospholipid antibody. Significant reduction of the left ocular blood flow was also noted on this subject‘s eye Doppler examination after the Mt. Aconcagua expedition.

Conclusions: : Various high altitude retinopathies were observed in the experienced climbers of this study. As high altitude pursuits become more popular, attention should be paid to the increasing prevalence of high altitude retinopathy.

Keywords: hypoxia • nerve fiber layer • retina 
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