Retinal arterial occlusions in the young

Current Opinion in Ophthalmology

Volumn 8, Issue 3, 1997, Pages 3-7

  Greven, Craig M ^a  

^a WAKE FOREST BAPTIST HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CORTICOSTEROID;

CENTRAL RETINA ARTERY OCCLUSION; CHILD CARE; HEALTH STATUS; HUMAN; MEDICAL ASSESSMENT; PATIENT CARE; PRIORITY JOURNAL; RETINA ARTERY OCCLUSION; REVIEW; RISK FACTOR; THROMBOSIS; VIRUS INFECTION; VISUAL ACUITY;

ADULT; FEMALE; HUMANS; MALE; RETINAL ARTERY OCCLUSION; RISK FACTORS; VISUAL ACUITY;

EID: 0030801403     PISSN: 10408738     EISSN: None     Source Type: Journal    
DOI: 10.1097/00055735-199706000-00002     Document Type: Review

References (15)

1. Brown GC, Magargal LE, Shields JA, Goldberg RE, Walsh PN: Retinal arterial obstruction in children and young adults. Ophthalmology 1981, 88:18-25.
2. Greven CM, Slusher MM, Weaver RG: Retinal arterial occlusions in •• young adults. Am J Ophthalmol 1995, 120:776-783. This article reports the cause, associated factors, visual results, and systemic morbidity in 21 patients younger than 40 years with retinal arterial occlusions. Various etiologic factors leading to a hypercoaguable state or embolic condition were identified in 91%, with cardiac valvular disease being present in 19%. The authors conclude that a thorough, aggressive evaluation is necessary in these patients to rule out potential life-threatening embolic or hypercoaguable conditions.
3. Millikan CH, McDowell F, Easton JD: Stroke. Philadelphia: Lea and Febiger; 1987.
4. Cohen SM, Davis JL, Gass JDM: Branch retinal arterial occlusions in •• multifocal retinitis with optic nerve edema. Arch Ophthalmol 1995, 113:1271-1276. This report documents seven patients younger than 40 years with multifocal retinitis and branch retinal artery occlusions. Six patients had associated systemic illnesses, and three had positive cat-scratch titers. The authors felt that the occlusion was secondary to the focus of retinitis causing occlusion of the vessel wall. Final visual acuity was 20/20 in all patients.
5. Sharma S, Naqvi A, Sharma SM, Cruess AF, Brown GC: Transthoracic •• echocardiographic findings in patients with acute retinal arterial obstruction. Arch Ophthalmol 1996, 114:1189-1192. This is a multicenter retrospective study of patients with retinal arterial occlusion who had undergone transthoracic echocardiography. Patients were divided into high-risk and low-risk groups based on their history of cardioembolic disease or presence of a cardiac murmur. In patients classified as having low cardioembolic risk, transthoracic echocardiography rarely detected a defect requiring anticoagulation or cardiac surgery. However, if a cardioembolic risk factor was present, nearly 30% of patients had a defect detected by transthoracic echocardiography requiring surgery or anticoagulation.
6. Cruysberg JRM, Deutman AF: Retinal arterial occlusions in young adults [letter]. Am J Ophthalmol 1996, 122:134.
7. Wenzler EM, Rademakers AJJM, Boers GHJ, Cruysberg JRM, Webers CAB, Deutman AF, et al.: Hyperhomocystenemia in retinal artery and retinal vein occlusion. Am J Ophthalmol 1993, 115:162-167.
8. Cohen RG, Hedges TR, Duker JS: Central retinal artery occlusion in a • child with T-cell lymphoma. Am J Ophthalmol 1995, 120:118-120. A case report of an 11-year-old girl who developed a central retinal artery occlusion and was subsequently diagnosed with T-cell lymphoma.
9. Barrall JL, Summers CG: Ocular ischemic syndrome in a child with • moyamoya disease and neurofibromatosis. Surv Ophthalmol 1996, 40:500-504. A case report of a 19-month-old boy who developed ocular ischemic syndrome associated with neurofibromatosis type 1 and moyamoya disease.
10. Atebara NH, Brown GC, Cater J: Efficacy of anterior chamber paracen•• tesis and carbogen in treating acute nonarteritic central retinal artery occlusion. Ophthalmology 1995, 102:2029-2035. This retrospective study compared the final visual outcomes in patients with central retinal artery occlusion treated with carbinogen and paracentesis with patients receiving neither of these treatments. The data suggested that paracentesis and carbogen therapy did not improve the ultimate visual outcome.
11. Goldberg MF: Efficacy of anterior chamber paracentesis and carbogen in treating acute nonarteritic central retinal artery occlusion: discussion. Ophthalmology 1995, 102:2034-2035.
12. Mames RN, Shugar JK, Levy N, Brasington A, Margo CE: Peripheral • thrombolytic therapy for central retinal artery occlusion. Arch Ophthalmol 1995, 113:1094. A pilot study of three patients treated with peripheral thrombolytic therapy for central retinal artery occlusion. All three had visual improvement: two with final visual acuities of 20/60 or better.
13. Margo CE, Mack WP: Therapeutic decisions involving disparate clini• cal outcomes. Ophthalmology 1996, 103:691-696. This article reports the results of a survey of risks that people would be willing to accept in attempting to recover vision following retinal arterial occlusive disease. Monocular people would theoretically accept greater life-threatening risks to recover vision than would binocular patients, and physicians and medical students were more likely to accept serious risk than were high school-educated or university-educated people.
14. Ciulla TA, Volpe NA: Retinal arterial occlusions in young adults [letter]. Am J Ophthalmol 1996, 122:134-135.
15. Egbert JE, Schwartz GS, Walsh AW: Diagnosis and treatment of an • ophthalmic artery occlusion during an intralesional injection of corticosteroid into an eyelid capillary hemangioma. Am J Ophthalmol 1996, 121:638-642. This case report describes the beneficial effects of indirect ophthalmoscopy during intralesional steroid injection in young children, A 4-year-old child developed a central retinal artery occlusion during injection of steroid into a capillary hemangioma of the lid. This complication was immediately detected and treated, leading to an excellent visual outcome.