First Author: M.Kotoula GREECE
Co Author(s): E. Papageorgiou F. Xanthou S. Kalampalikis E. Tsironi
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To present a rare case of subfoveal choroidal occlusion in a young man
Department of Ophthalmology, University Hospital of Larissa
A 31-year-old man presented with deterioration of visual acuity (3/10 cc). Intraocular pressure was normal and funduscopy was unremarkable. Macular optical coherence tomography (OCT) scan did not reveal any abnormalities and fluorescence angiography showed mild RPE irregularities. However, indocyanine green (ICG) angiography demonstrated subfoveal choroidal ischaemia. The patient’s medical history was remarkable for sickle cell trait, mixed hyperlipidemia and indiopathic arterial hypertension, while laboratory tests did not confirm any thrombophilic or autoimmune disorders.
Due to his vascular profile and medical history, the patient was started on oral antiplatelet (clopidrogel) and anticoagulant (fondaparinux) therapy. On follow-up examination his visual acuity had improved to 9/10 cc.
Prompt diagnosis is critical in choroidal vascular occlusion in order to institute an appropriate laboratory check-up, begin treatment and avoid long-term complications