[Retinal involvement in hemoglobinopathy].
Sickle cell disease is the most common and severe hemoglobinopathy. Ocular complications are related to ischemic retinopathy. Retinal examination has to be done in homozygous or double heterozygous patients and when the sickle trait is present with additional systemic vascular conditions. Fluorescein angiography is the main investigation. Photocoagulation to ischemic areas is effective in achieving regression of neovascularization. Various measures to reduce ischemia are recommended for surgical procedure. Multidisciplinary teams should take on severe cases.
Morel
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Service V, CHNO des Quinze-Vingts, 28 rue de Charenton, 75012 Paris.
D000755:Anemia, Sickle Cell / Q000150:complications; D006453:Hemoglobinopathies / Q000150:complications* / Q000453:epidemiology; D006801:Humans; D012164:Retinal Diseases / Q000453:epidemiology / Q000209:etiology*