Bilateral central retinal vein occlusion in Eisenmenger syndrome.
OBJECTIVE
To report a case of bilateral central retinal vein occlusion in a patient with Eisenmenger syndrome.


METHODS
Case report. A 60-year-old woman with Eisenmenger syndrome secondary to a congenital ventricular septal defect presented with a 2-week history of decreased vision in both eyes.


RESULTS
Ophthalmic examination revealed bilateral central retinal vein occlusion. Laboratory findings included hematocrit of 50.3% and pO(2) of 52 mm Hg while on O(2) 5 L/min per nasal cannula, despite having undergone phlebotomy 2 weeks earlier.


CONCLUSIONS
Chronic hypoxia caused by Eisenmenger syndrome may result in polycythemia with resultant hyperviscosity and bilateral central retinal vein occlusion.
Rodriguez
N
N
Kresge Eye Institute, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.
Eliott
D
D
D004541:Eisenmenger Complex / Q000150:complications*; D005260:Female; D006343:Heart Septal Defects / Q000150:complications; D006400:Hematocrit; D006801:Humans; D008875:Middle Aged; D010100:Oxygen; D018962:Phlebotomy; D012170:Retinal Vein Occlusion / Q000175:diagnosis / Q000209:etiology*; D014792:Visual Acuity
D010100:Oxygen