Antiphospholipid syndrome and retinal vein occlusion

Revista Brasileira de Oftalmologia

Alinne Maria Camargos Da Costa²  Homero Gusmão De Almeida¹  Christian Marcellus De Camargo Campos¹  Roberto Martins Gonçalves¹ 

[1] ,Instituto de Olhos Departament of Cataract and Glaucoma Belo Horizonte MG ,Brazil

关键词: Retinal vein occlusion;    Antiphospholipid syndrome;    Glaucoma;    Case reports;    Oclusão da veia retiniana;    Síndrome antifosfolipídica;    Glaucoma;    Relatos de casos;   

DOI  :  10.1590/S0034-72802009000200007

来源: SciELO

【 摘 要 】

A 34-year-old white man presented with a sudden unilateral recurrent visual loss. Fundus examination and fluorescein angiography revealed severe retinal vein occlusion. An antiphospholipid syndrome was discovered during etiological check up. A mutation of Leiden V factor was discovered and the patient started long term anticoagulation after the second occlusive event. However, secondary neovascular glaucoma has developed and despite treatment the affected eye had an important reduction of visual acuity. The purpose of this case report is to demonstrate that retinal vascular occlusion can be the initial manifestation of the antiphospholipid syndrome and that its diagnosis is important because this disease generally affects young people and may endanger ocular and vital prognosis. This diagnosis may imply a long lasting anticoagulative or antiaggregative treatment to reduce the risk of recurrent thrombotic events.

【 授权许可】

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