Concurrent Central Retinal Artery and Vein Occlusion in a Pediatric Patient

Azman, Mohd Syafiq Bin; Jusoh, Shawarinin; Zamli, Akmal Haliza

doi:10.4172/2572-5130.1000136

Cited by 1 publication

(2 citation statements)

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“…[ 2 ] While there are a couple of other reports of combined retinal vascular occlusion in the young, there are none in NS. [ 6 7 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 ] In adults, bilateral combined retinal vascular occlusions have been reported in acquired immunodeficiency syndrome, systemic lupus erythematosus, hepatitis C, thrombotic thrombocytopenic purpura, protein C deficiency, and in pregnancy. [ 3 4 5 6 7 ] To the best of our knowledge, this is the first report of a bilateral combined occlusion with a good visual outcome in a 3-year-old female child with acute exacerbation of chronic nephrotic syndrome.…”

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confidence: 94%

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Bilateral combined central retinal artery and vein occlusion in a 3-year-old child with nephrotic syndrome

Sinha

Rau

Kumar

et al. 2018

Indian J Ophthalmol

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Nephrotic syndrome (NS) is a common disease of childhood but ophthalmic manifestations are seldom reported. We report a rare occurrence of bilateral combined central retinal artery and vein occlusion in a 3-year-old with NS. The child presented with bilateral painless loss of vision, central pallid retinae with cherry red spots, vascular tortuosity, and retinal hemorrhages. There was delayed filling of the arteriolar circulation and a delay in arteriovenous transit time on angiography and increased central retinal thickening on optical coherence tomography. She was treated with oral steroids, subcutaneous low molecular weight heparin, and oral acetylsalicylic acid. The central retinae showed resolution of the hemorrhages, tortuosity, edema, and pallor within 3 weeks. Visual acuity recovered bilaterally to 20/360, 20/190, and 20/40 at 1, 3, and 6 weeks, respectively. We discuss the possible reasons for good recovery in our patient. Though bilateral combined central retinal artery and vein occlusion is rare in pediatric NS, the treating physician should be aware of this entity as it can be successfully managed.

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“…[ 2 ] While there are a couple of other reports of combined retinal vascular occlusion in the young, there are none in NS. [ 6 7 ]…”

Section: Discussionmentioning

confidence: 99%