Exudative retinal detachment and macular hole as a rare sequelae of central vein occlusion
Central retinal vein occlusion (CRVO) is uncommon among young patients. Among the young adults, CRVO tends to be more benign with good visual prognosis. Macular oedema secondary to retinal vein occlusion is a relatively common complication that is currently being treated with intravitreal anti va...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20218/ http://journalarticle.ukm.my/20218/1/25_ms0189_pdf_92327.pdf |
| Summary: | Central retinal vein occlusion (CRVO) is uncommon among young patients. Among
the young adults, CRVO tends to be more benign with good visual prognosis.
Macular oedema secondary to retinal vein occlusion is a relatively common
complication that is currently being treated with intravitreal anti vascular endothelial
growth factor with good outcomes. Other complications include lamellar hole,vitreous hemorrhage and neovascular glaucoma. We report a case of central
retinal vein occlusion in a young female who presented to us with the complaint
of blurring of vision in the left eye for four months. Fundus examination showed
hyperemic optic disc, dilated tortuous vein, extensive retinal hemorrhages with
macular oedema and an inferior shallow exudative retinal detachment. One month
later, intravitreal ranibizumab injection for her macular oedema, a full thickness
macular hole developed with reduction of macular oedema. Four months later,
the hole spontaneously closed but her macular oedema persisted. The possibility
of rare complications like exudative retinal detachment and full thickness macular
hole must be kept in mind to ensure early detection and effective management is
provided to preserve vision. |
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