Idiopathic combined retinal vessels occlusion in a pregnant woman: a case report

Journal of Medical Case Reports

Mohammadreza Mehrabi Bahar¹  Seyed Ali Tabatabaei¹  Seyedeh Mojgan Ghalandarpoor-Attar²  Seyedeh Noushin Ghalandarpoor-Attar³  Sedigheh Hantoushzadeh⁴  Azadeh Shabani⁵ 

[1] Farabi Eye Hospital, Retinal Services, Tehran University of Medical Sciences;Obstetrics and Gynecology Department, Baharloo Hospital, Tehran University of Medical Sciences;Obstetrics and Gynecology Department, Baqyiatallah Hospital, Baqyiatallah University of Medical Sciences;Obstetrics and Gynecology Department, Imam Khomeini Hospital Complex, Vali-Asr Hospital, Tehran University of Medical Sciences;Obstetrics and Gynecology Department, Taleghani Hospital, Shahid Beheshti University of Medical Sciences;

关键词: Ocular vascular occlusion;    Central retinal vein occlusion;    Pregnancy;    Thrombophilia;    Optical coherence tomography;    Angiography;   

DOI  :  10.1186/s13256-022-03421-8

来源: DOAJ

【 摘 要 】

Abstract Background Ocular vascular occlusion is an extremely rare event, especially in the young population. This diagnosis is always associated with active systemic diseases in young adults and needs thrombophilia workup. Nevertheless, we present the case of a pregnant woman suffering from idiopathic combined central retinal vein and cilioretinal artery occlusion. Case presentation A 36-year-old pregnant Iranian woman at the 36th week of her second pregnancy complained of subacute unilateral painless decreased vision of her left eye. She had experienced a transient vision loss that lasted several minutes, but attacks gradually became more frequent and finally persistent over a several-day period. Finally combined central retinal vein and cilioretinal artery occlusion was established. Her visual acuity improved to 4/10 in a month without any ocular intervention except for a short duration of prophylactic dose enoxaparin, and the acuity reached 8/10 without any complications in the third month follow-up visit. At 1 year follow-up, the visual acuity had not changed and no macular edema was seen. Conclusions Ocular vascular occlusion is extremely rare among young adults, and even rarer among pregnant women. According to this, any suspected retinal vascular event in this population should raise suspicion for underlying diseases such as hypertension, diabetes, autoimmune diseases, migraine, preeclampsia syndrome, and thrombophilia. However, as seen in this presented case, idiopathic ocular vascular occlusion events can occur also.

【 授权许可】

Unknown