Bilateral central retinal artery occlusion in a case of eclampsia

Shilpa, Y D; Kalpana, B N; Devaru, Sheetal

doi:10.4103/erj.erj_8_18

Cited by 4 publications

(3 citation statements)

References 10 publications

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“…Fundoscopy shows typical changes such as pallor of posterior pole with cherry-red spot. It seems that the activation of coagulation system could be a cause of multiple emboli and vascular occlusion in these patients [53].…”

Section: Central Retinal Artery Occlusionmentioning

confidence: 92%

“…Central retinal artery occlusion (CRAO) is rare in young people, and it is usually associated with a predisposing pathological disorders such as cardiac valvular disease, systemic vascular disease, and hypercoagulable disorders. According to some studies, CRAO is rarely described in women with eclampsia [52,53]. Clinically, it is presented with sudden, painless, and persistent vision loss.…”

Section: Central Retinal Artery Occlusionmentioning

confidence: 99%

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Ophthalmic Disorders in Posterior Reversible Encephalopathy Syndrome Associated with Preeclampsia

Cvitkovic¹,

Sesar²,

Ćavar³

2022

Preeclampsia

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Posterior reversible encephalopathy syndrome (PRES) is a clinicoradiological entity presented with different symptoms such as visual disturbances, headaches, seizures, severe hypertension and altered mental status. It has been recognized in a different pathological conditions, although preeclampsia/eclampsia is the most common cause of PRES. The pathogenesis of PRES is still not fully understood, but it seems that failure of cerebrovascular autoregulation causing vasogenic edema, cerebral vasoconstriction, and disruption of the blood brain barrier plays an important role. Cortical blindness, hypertensive retinopathy, serous retinal detachment (SRD), central retinal artery and vein occlusions, retinal or vitreous hemorrhages, anterior ischemic optic neuropathy (AION) and Purtscher’s retinopathy are ophthalmic disorders that may occur in PRES associated with preeclampsia. Among these, cortical blindness is the best documented complication of preeclampsia. Magnet resonance imaging (MRI) is a gold standard to establish the diagnosis of PRES because clinical findings are not sufficiently specific. Typically, there are bilateral cortical occipital lesions with hyperdensity on T2-weighted MRI. Blindness due to occipital lesions is reversible and the vision loss is usually regained within 4 h to 8 days.

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Section: Central Retinal Artery Occlusionmentioning

confidence: 92%

Section: Central Retinal Artery Occlusionmentioning

confidence: 99%

Ophthalmic Disorders in Posterior Reversible Encephalopathy Syndrome Associated with Preeclampsia

Cvitkovic¹,

Sesar²,

Ćavar³

2022

Preeclampsia

View full text Add to dashboard Cite

show abstract

“…Retinal artery occlusion most often affects one eye with bilateral involvement occurring in 1-2% of cases [9]. Previous reports on bilateral RAO in India have primarily been case reports [10][11][12][13][14]. An earlier hospital-based retrospective study on RAO also in India reported bilateral involvement in 3 patients which constituted 10% of the study population [15].…”

Section: Introductionmentioning

confidence: 99%

Bilateral Retinal Artery Occlusion; A Retrospective Analysis of Clinical Presentation and Management

Kumar

Adenuga

Chhablani

et al. 2021

Preprint

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Purpose; Retinal artery occlusion (RAO) is an ophthalmologic emergency and involvement of both eyes is rare. The aim of this study was to determine the pattern of presentation of bilateral RAO in south India and the associated systemic disorders.Methods; A retrospective review of the medical records of patients with bilateral RAO seen at a tertiary eye hospital in south India over a period of eight years was carried out. The patients’ demographic and clinical data were extracted from the case files, and analysed using Epi Info statistical software.Results; Six hundred and seventy-four eyes of 662 patients were seen with RAO during the period of the study with 12 (1.8%) patients having bilateral involvement. The mean age of the patients was 58.3 years and males comprised 66.7%. There were 22 (91.7%) eyes with CRAO, and two (8.4%) with branch RAO. Three (25%) patients had simultaneous RAO. The median interval for involvement of the fellow eye was 90 days. Hypertension and diabetes were the most common associated systemic disorders.Conclusion; Bilateral RAO is very rare and usually nonsimultaneous. Patients need to be aware of the possibility of involvement of the fellow eye after a unilateral RAO, and the importance of seeking medical care promptly if this occurs.

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Interventions for acute non-arteritic central retinal artery occlusion

Lin

Song

et al. 2023

Cochrane Database of Systematic Reviews

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Bilateral central retinal artery occlusion in a case of eclampsia

Cited by 4 publications

References 10 publications

Ophthalmic Disorders in Posterior Reversible Encephalopathy Syndrome Associated with Preeclampsia

Ophthalmic Disorders in Posterior Reversible Encephalopathy Syndrome Associated with Preeclampsia

Bilateral Retinal Artery Occlusion; A Retrospective Analysis of Clinical Presentation and Management

Interventions for acute non-arteritic central retinal artery occlusion

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