Cilioretinal obstruction during pregnancy
| Autor: | A. Martínez-Lajara, J. Vila-Arteaga, M.M. Suriano |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Visual acuity Arterial embolism Retinal Artery Occlusion genetic structures Embarazo Retinal arterial occlusion Pregnancy Complications Cardiovascular Infarction Arterial Occlusive Diseases Ciliary Arteries 03 medical and health sciences Oclusion de la arteria ciliorretiniana 0302 clinical medicine Pregnancy Oclusion arterial retiniana Occlusion medicine Humans Cilioretinal artery occlusion Retinal artery occlusion Retrospective Studies business.industry General Medicine medicine.disease eye diseases Surgery medicine.anatomical_structure Embolism Fundus (uterus) 030221 ophthalmology & optometry Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Archivos de la Sociedad Espanola de Oftalmologia r-FISABIO. Repositorio Institucional de Producción Científica instname r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe |
| ISSN: | 0365-6691 |
| Popis: | PURPOSE: To determine the number of patients diagnosed over a 5-year period with isolated occlusion of the cilioretinal artery (CRAO) whilst pregnant, as well as to describe the outcomes and ophthalmological sequelae of this condition in pregnant woman. METHODS: A retrospective study of the medical records. RESULTS: From the 135 patients diagnosed with retinal arterial occlusion of all of our series, 20 (14.8%) had CRAO, and 2 (1.48%) of these were pregnant. Case 1: A 34 year-old pregnant woman with a centrocaecal scotoma and visual acuity of 20/20 in right eye. Fundus examination: A soft exudate in the papillomacular bundle with retinal oedema and embolism on a cilioretinal artery branch. The exudate and oedema disappeared after 5 weeks, and the scotoma was reduced. Case 2: A 30 year-old pregnant woman, with normal visual acuity in right eye, and a centrocaecal scotoma. Fundoscopy: An area of retinal interpapillomacular infarction due to cilioretinal artery occlusion. The fundus returned to normal in 4 weeks, with an improvement of the scotoma. CONCLUSIONS: The aetiology of CRAO is usually associated with carotid disease or other thromboembolic events related to hypercoagulable states and autoimmunity. Pregnancy is considered a hypercoagulable state, and it is not known if it is a risk factor for arterial embolism. Further studies are required to determine the correlation between pregnancy and CRAO. |
| Databáze: | OpenAIRE |
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