Traumatic Central Retinal Vein Occlusion: A Case Report
Journal of Ophthalmic and Optometric Sciences,
Vol. 3 No. 1 (2019),
1 January 2019
,
Page 36-39
https://doi.org/10.22037/joos.v3i1.32601
Abstract
Here we report a healthy 48-year-old man who experienced severe loss of vision in the left eye due to central retinal vein occlusion (CRVO) after head trauma. The patient was visited by us three days after the trauma. All systemic workups were normal. Anterior segment examination showed subconjunctival hemorrhage in the left eye. Anterior chamber was deep and clear and intraocular pressure was normal. Relative Afferent Pupillary Defect (RAPD) was negative. A dilated fundoscopic examination of the left eye revealed a moderately congested optic nerve with dilated and tortuous retinal veins scattered throughout the fundus with dot, blot, and flame-shaped hemorrhages. A few yellowish white cotton-wool spots were also seen. A fluorescein angiogram in the left eye confirmed a nonischemic CRVO.
Although isolated CRVO following trauma is a rare condition, ophthalmologists should be aware of the potential for blunt head trauma causing CRVO.
- vein occlusion; trauma; case; Iran.
How to Cite
References
2. Risk factors for central retinal vein occlusion. The Eye Disease Case-Control Study Group. Arch Ophthalmol. 1996;114(5):545-554. (No authors listed)
3. Fong AC, Schatz H. Central retinal vein occlusion in young adults [published correction appears in Surv Ophthalmol 1993;38(1):88]. Surv Ophthalmol. 1993;37(6):393-17.
4. Bharathi Devi SR, Suganeswari G, Sharma T, Thennarasu M, Angayarkanni N. Homocysteine induces oxidative stress in young adult central retinal vein occlusion. Br J Ophthalmol. 2012;96(8):1122-6.
5. Mouinga Abayi DA, Giraud JM, Fenolland JR, Sendon D, May F, Renardet JP. A rare trauma-associated cause of central retinal vein occlusion in a young subject. J Fr Ophtalmol. 2012;35(6):426-31. (Article in French).
6. Parvin P, Pournaras JA, Wolfensberger TJ. Importance of complete haematological workup for relatives of young patients presenting central retinal vein occlusion. Klin Monbl Augenheilkd. 2011;228(4):383-4.
7. Rehak M, Krcova V, Slavik L, Fric E, Langova K, Ulehlova J, et al. The role of thrombophilia in patients with retinal vein occlusion and no systemic risk factors. Can J Ophthalmol. 2010;45(2):171-5.
8. Thapa R, Paudyal G. Central retinal vein occlusion in young women: rare cases with oral contraceptive pills as a risk factor. Nepal Med Coll J. 2009;11(3):209-11.
9. Narang S, Gupta P, Sharma A, Sood S, Palta A, Goyal S. Bilateral Central Retinal Vein Occlusion as Presenting Feature of Chronic Myeloid Leukemia. Middle East Afr J Ophthalmol. 2016;23(3):253-5.
10. Kuhli-Hattenbach C, Scharrer I, Lüchtenberg M, Hattenbach LO. Coagulation disorders and the risk of retinal vein occlusion. Thromb Haemost. 2010;103(2):299-305. 11. Parodi MB, Di Crecchio L. Hyperhomocysteinemia in central retinal vein occlusion in young adults. Semin Ophthalmol. 2003;18(3):154-9.
12. Jasmin Zvorničanin, Ferenc Kuhn, Meliha Halilbašić, Zlatko Mušanović. Central retinal artery occlusion and traumatic optic neuropathy following blunt ocular trauma. Int J Ophthalmol. 2018; 11(5): 893-7.
13. M J Noble, E V Alvarez. Combined occlusion of the central retinal artery and central retinal vein following blunt ocular trauma: a case report. Br J Ophthalmol. 1987; 71(11): 834-6.
14. Kumar Singh NK, Bhattacharya UK, Kamai GL, Fanai VR. Traumatic optic neuropathy with combined central retinal artery occlusion (CRAO) and central retinal vein occlusion (CRVO) following blunt ocular traumaJ Med Soc. 2014;28(2):128-130.
15. Bouraoui R, Mghaieth F, Bouladi M, Limaiem R, Maamouri R, El Matri L. Combined central retinal arterial and venous occlusion after ocular contusion. J Fr Ophtalmol. 2016;39(10):e287-e289.
16. Kline LB, Kirkham TH, Belanger G, Remillard G. Traumatic central retinal vein occlusion. Ann Ophthalmol. 1978;10(5):587-91.
17. Dalma-Weiszhausz J, Meza-de Regil A, Martínez-Jardón S, Oliver-Fernández K. Retinal vascular occlusion following ocular contusion. Graefes Arch Clin Exp Ophthalmol. 2005;243(5):406-9.
18. Noriko Himori, Hiroshi Kunikata, Takaaki Otomo, Nobuo Fuse, Kohji Nishida. Central retinal artery occlusion following severe blow-out fracture in young adult . Clin Ophthalmol. 2009; 3: 325-8.
- Abstract Viewed: 433 times
- PDF Downloaded: 371 times