Bilateral occlusion of the central retinal artery in a homocystinuric patient: the role of echography.
The authors describe a case presented by a homocystinuric 26-year-old male patient with bilateral occlusion of the central retinal artery. Echography carried out the same day of the occlusion and the following days identified and monitored a mass located in the orbit of the OD. Characteristics and dimension of the mass were confirmed and measured by a CT scan and NMR examination. The orbital mass of the OD appeared to be a swelling of the central retinal artery with echo-refracting opacities, which, in light of recent studies, can be interpreted as multiple arterial thrombi, composed predominantly most likely by platelets. Therapeutic possibilities are discussed.
Paoli
D
D
Department of Opthalmology, Hospital of Monfalcone, Gorizia, Italy.
Pierro
L
L
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D005123:Eye / Q000000981:diagnostic imaging / Q000473:pathology; D005500:Follow-Up Studies; D006712:Homocystinuria / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D012008:Recurrence; D015356:Retinal Artery Occlusion / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014792:Visual Acuity
D000925:Anticoagulants