RETINAL AND CHOROIDAL VASCULAR OCCLUSION FOLLOWING AQUEOUS MISDIRECTION SYNDROME IN A PATIENT WITH SICKLE CELL TRAIT
| Autor: | Justin Tannir, Gary W. Abrams, Samantha Dewundara, Huseyin Kadikoy, Johnstone M. Kim, Wendewessen Amde, Bret A Hughes, Nariman Nassiri |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Intraocular pressure Visual acuity Adolescent genetic structures Fundus Oculi Retinal Artery Occlusion Visual Acuity Glaucoma 030204 cardiovascular system & hematology Vascular occlusion Sickle Cell Trait Aqueous Humor 03 medical and health sciences chemistry.chemical_compound Postoperative Complications 0302 clinical medicine Ophthalmology medicine Humans Fluorescein Angiography Glaucoma Drainage Implants Intraocular Pressure Sickle cell trait Choroid business.industry Retinal Vessels Retinal Choroid Diseases Syndrome General Medicine medicine.disease eye diseases Aqueous misdirection Surgery chemistry Filtering Surgery 030221 ophthalmology & optometry Female sense organs medicine.symptom Glaucoma Angle-Closure Acetazolamide business Tomography Optical Coherence medicine.drug |
| Zdroj: | RETINAL Cases & Brief Reports. |
| ISSN: | 1935-1089 |
| Popis: | Purpose To report a patient with retinal and choroidal vascular occlusion as a presenting sign of sickle cell trait following the development of aqueous misdirection syndrome. Methods Retrospective chart review. Results A patient treated for bilateral chronic angle-closure glaucoma with sequential EX-PRESS glaucoma filtration device surgery developed sequential bilateral aqueous misdirection syndrome. The left eye developed retinal arterial and localized choroidal vascular occlusions subsequent to an acute elevation in intraocular pressure and possibly the use of oral acetazolamide. The patient was subsequently found to have sickle cell trait. The right eye developed aqueous misdirection with acute elevation of intraocular pressure as well, but the patient was not treated with oral acetazolamide and did not develop vascular occlusion. Conclusion Retinal and choroidal vascular occlusions can be the presenting sign of a patient with sickle cell trait. Sickle cell screening may be beneficial in African American or Middle Eastern patients after an acute rise in intraocular pressure, particularly before initiation of treatment with oral carbonic anhydrase inhibitors. |
| Databáze: | OpenAIRE |
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