Antiphospholipid syndrome and retinal vein occlusion

Autor: Christian Campos, Alinne Maria Camargos da Costa, Homero Gusmão de Almeida, Roberto Martins Gonçalves
Rok vydání: 2009
Předmět:
Zdroj: Revista Brasileira de Oftalmologia v.68 n.2 2009
Revista Brasileira de Oftalmologia
Sociedade Brasileira de Oftalmologia (SBO)
instacron:SBO
ISSN: 1982-8551
Popis: A 34-year-old white man presented with a sudden unilateral recurrent visual loss. Fundus examination and fluorescein angiography revealed severe retinal vein occlusion. An antiphospholipid syndrome was discovered during etiological check up. A mutation of Leiden V factor was discovered and the patient started long term anticoagulation after the second occlusive event. However, secondary neovascular glaucoma has developed and despite treatment the affected eye had an important reduction of visual acuity. The purpose of this case report is to demonstrate that retinal vascular occlusion can be the initial manifestation of the antiphospholipid syndrome and that its diagnosis is important because this disease generally affects young people and may endanger ocular and vital prognosis. This diagnosis may imply a long lasting anticoagulative or antiaggregative treatment to reduce the risk of recurrent thrombotic events.
Databáze: OpenAIRE