First Author: R.Almeida PORTUGAL
Co Author(s): F.D. Rodrigues M. Ruão M. Amorim J. Chibante-Pedro 0 0 0 0 0 0 0 0 0
Back to previous
To report a case of central retinal vein occlusion (CRVO) in an 18-year-old girl and present its clinical aspects, angiographic results and medical investigation findings.
Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal
Retrospective case report
An 18-year-old girl presented at the emergency department with sudden onset of blurred vision and photopsias in the left eye (OS). She had no relevant personal or family history and her usual medication was merely an oral contraceptive, initiated in that month. The ophthalmological evaluation revealed a best corrected visual acuity of 20/30 OS and 20/20 OD. Fundoscopy of the left eye showed dilated and tortuous retinal veins, diffuse retinal haemorrhages in all quadrants and optic disc oedema. Fluorescein angiography confirmed the diagnosis of CRVO. Systemic workup revealed no additional risk factors or possible hypercoagulable states.
CRVO is usually seen in older adults and often associated with systemic vascular disease. This is much less evident in young people. Physicians should be aware, when prescribing drugs like oral contraceptives, that they are a predisposing factor to venous occlusive disease.