THE BELGIAN OPHTHALMIC ASSOCIATIONS
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| Title | Dual Branch Retinal Vein Occlusion in one eye-case presentation |
| Abstract Nr. | 3036 |
| Purpose | Branch retinal vein occlusion is 3 times more common than CRVO, the usual age of onset is 60-70 years. Retinal vein occlusions (branch and central) are the second most common retinal vascular diseases after diabetic retinopathy. Arterial compression of the vein is believed to be the main cause of BRVO Once the venous flow is compromised or interrupted retinal ischaemia ensues downstream from the site of occlusion. |
| Methods | We present a case of unilateral double BRVO in a 70-year-old smoker woman with a history of hypercholestrolaemia and migraine She has a strong family history of ischaemic heart disease Laboratory tests including complete hypercoagulability and thrombotic workup were completed Her blood pressure upon presentation was 145/87 Intraocular pressures were 19 mmHg in the right, and 11 mmHg in the left Slit lamp exam showed normal anterior segments with open angles bilaterally. Fundus examination of the right eye revealed intraretinal flame shaped hemorrhages, retinal oedema, and cotton-wool spots in the distribution of two retinal vessels: the upper nasal and the lower temporal branches. Intraretinal raphe is respected. cup to disc ratio of 0.7 |
| Results | Differential diagnosis:central retinal vein occlusion,Colonic polyps,Hypertension, Macular oedema in diabetes OCT: the central macular thickness was 422micrometer in the right eye and 233 micrometer in the left |
| Conclusion | Our case illustrates an interesting presentation of unilateral double BRVO Smoking habit and hypercholestrolaemia were thought to be the main risk factors Close follow up, tight serum cholesterol control and advice to stop smoking are crucial to prevent similar scenario in the fellow eye |
| Conflict of interest | Yes |
| Details of conflicting interests | Branch retinal vein occlusions (BRVOs) have a relatively benign course Nevertheless, certain complications that lead to visual loss may occur These complications include macular edema and the sequelae from retinal neovascularization (eg, vitreous hemorrhage, tractional retinal detachment, neovascular glaucoma) |
Authors 1
| Last name | HAMOUD |
| Initials | AH |
| Department | Medical Retina, Western Eye Hospital |
| City | London |
Authors 2
| Last name | Younis |
| Initials | YS |
| Department | Medical Retina, Western Eye Hospital |
| City | London |