医学
视网膜中央静脉阻塞
荧光血管造影
眼底(子宫)
亚甲基四氢叶酸还原酶
闭塞
眼科
视网膜中央动脉阻塞
家族史
视网膜静脉
女孩
视网膜
外科
黄斑水肿
基因型
发展心理学
化学
心理学
基因
生物化学
作者
Julia Hudson,Diana Laura,Audina M. Berrocal
出处
期刊:Retinal Cases & Brief Reports
[Ovid Technologies (Wolters Kluwer)]
日期:2023-11-01
卷期号:17 (6): 734-736
被引量:1
标识
DOI:10.1097/icb.0000000000001283
摘要
Purpose: This case report describes a central retinal vein occlusion in a healthy 12-year-old girl who developed retinal neovascularization at 24 years of age. To the knowledge of the authors, this is the longest time between a reported pediatric central retinal vein occlusion event and neovascularization. Methods: The patient underwent a full history, physical examination, and laboratory workup to determine potential risk factors contributing to the vascular event. Fundus photographs, optical coherence tomography, and fluorescein angiography were performed throughout the patient's treatment course. Results: Family history was noncontributory, but laboratory testing revealed a mildly elevated homocysteine level and homozygous C677T mutation in methylenetetrahydrofolate reductase. As a result, she was started on folate supplementation. The patient has had no further ocular or systemic thrombotic events to date. Conclusion: Pediatric patients presenting with central retinal vein occlusion should undergo a systemic workup and require long-term follow-up to avoid complications, such as intraocular hemorrhage, tractional retinal detachments, and neovascular glaucoma.
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