Central retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man

Central retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man

Shaheen C Kavoussi, James E Kempton, John J Huang Yale University Department of Ophthalmology and Visual Science, New Haven, CT, USA Abstract: An otherwise healthy 24-year-old man presented with a painless decrease of vision in the left eye for 2 days. Best-corrected visual acuity was 20/20 in the...

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Autores principales: Kavoussi SC, Kempton JE, Huang JJ
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2015
Materias:
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/72c23c96aaf34a23b49091483b547dfd
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spelling oai:doaj.org-article:72c23c96aaf34a23b49091483b547dfd2021-12-02T01:35:31ZCentral retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man1177-5483https://doaj.org/article/72c23c96aaf34a23b49091483b547dfd2015-05-01T00:00:00Zhttp://www.dovepress.com/central-retinal-vein-occlusion-resulting-fromnbspanomalous-retinal-vas-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Shaheen C Kavoussi, James E Kempton, John J Huang Yale University Department of Ophthalmology and Visual Science, New Haven, CT, USA Abstract: An otherwise healthy 24-year-old man presented with a painless decrease of vision in the left eye for 2 days. Best-corrected visual acuity was 20/20 in the right eye and 20/80 in the left eye. Anterior exam was unremarkable and funduscopic exam in the left eye revealed retinal hemorrhages in all four quadrants with venous dilation and tortuosity consistent with central retinal vein occlusion. Fluorescein angiography revealed delayed venous filling with neither leakage nor vasculitis. A comprehensive work-up that included infectious, inflammatory, and hypercoagulability studies was unremarkable, and magnetic resonance imaging of the orbits was unrevealing. After 2 months, best-corrected visual acuity returned to 20/20-2 in the left eye. Upon closer review of the vascular anatomy in the left eye, a bifurcation of the central retinal artery at the level of the optic disc was tightly intertwined with an undilated nasal retinal vein in a manner that appeared to compress the underlying central retinal vein, resulting in dilation and tortuosity of the remaining venous branches. The vessel wall damage, turbulent venous flow, and compressive mass effect resulting from the anomalous retinal vasculature relationship is the proposed mechanism of the central retinal vein occlusion. Careful attention to the retinal vascular anatomy is suggested to aid in assessing the risk of retinal vein occlusion in any age group. Keywords: CRVO, young patient, negative work-up, retinal vascular anatomyKavoussi SCKempton JEHuang JJDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 885-887 (2015)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Kavoussi SC
Kempton JE
Huang JJ
Central retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man
description Shaheen C Kavoussi, James E Kempton, John J Huang Yale University Department of Ophthalmology and Visual Science, New Haven, CT, USA Abstract: An otherwise healthy 24-year-old man presented with a painless decrease of vision in the left eye for 2 days. Best-corrected visual acuity was 20/20 in the right eye and 20/80 in the left eye. Anterior exam was unremarkable and funduscopic exam in the left eye revealed retinal hemorrhages in all four quadrants with venous dilation and tortuosity consistent with central retinal vein occlusion. Fluorescein angiography revealed delayed venous filling with neither leakage nor vasculitis. A comprehensive work-up that included infectious, inflammatory, and hypercoagulability studies was unremarkable, and magnetic resonance imaging of the orbits was unrevealing. After 2 months, best-corrected visual acuity returned to 20/20-2 in the left eye. Upon closer review of the vascular anatomy in the left eye, a bifurcation of the central retinal artery at the level of the optic disc was tightly intertwined with an undilated nasal retinal vein in a manner that appeared to compress the underlying central retinal vein, resulting in dilation and tortuosity of the remaining venous branches. The vessel wall damage, turbulent venous flow, and compressive mass effect resulting from the anomalous retinal vasculature relationship is the proposed mechanism of the central retinal vein occlusion. Careful attention to the retinal vascular anatomy is suggested to aid in assessing the risk of retinal vein occlusion in any age group. Keywords: CRVO, young patient, negative work-up, retinal vascular anatomy
format article
author Kavoussi SC
Kempton JE
Huang JJ
author_facet Kavoussi SC
Kempton JE
Huang JJ
author_sort Kavoussi SC
title Central retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man
title_short Central retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man
title_full Central retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man
title_fullStr Central retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man
title_full_unstemmed Central retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man
title_sort central retinal vein occlusion resulting from anomalous retinal vascular anatomy in a 24-year-old man
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/72c23c96aaf34a23b49091483b547dfd
work_keys_str_mv AT kavoussisc centralretinalveinocclusionresultingfromnbspanomalousretinalvascularanatomyinnbspanbsp24yearoldman
AT kemptonje centralretinalveinocclusionresultingfromnbspanomalousretinalvascularanatomyinnbspanbsp24yearoldman
AT huangjj centralretinalveinocclusionresultingfromnbspanomalousretinalvascularanatomyinnbspanbsp24yearoldman
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