title: Association between isotretinoin use and central retinal vein occlusion in an adolescent with minor predisposition for thrombotic incidents: a case report.
abstract: BACKGROUND
  We report an adolescent boy with minimal pre-existing risk for thromboses who suffered central retinal vein occlusion associated with isotretinoin use for acne. To the best of our knowledge, this is the first well documented case of this association.
  
  
  METHODS
  An otherwise healthy 17-year-old white man who was treated with systemic isotretinoin for recalcitrant acne was referred with central retinal vein occlusion in one eye. Although a detailed investigation was negative, DNA testing revealed that the patient was a heterozygous carrier of the G20210A mutation of the prothrombin gene. Despite the fact that this particular mutation is thought to represent only a minor risk factor for thromboses, it is probable that isotretinoin treatment greatly increased the risk of a vaso-occlusive incident in this patient.
  
  
  CONCLUSIONS
  Isotretinoin use may be associated with sight- and life-threatening thrombotic adverse effects even in young patients with otherwise minimal thrombophilic risk. Physicians should be aware of such potential dangers.
authors.affiliation: Ophthalmology Department, University Hospital of Larissa, 41110 Larissa, Greece. labiris@usa.net.
authors.forename: Georgios
authors.initials: G
authors.lastname: Labiris
authors.forename: Andreas
authors.initials: A
authors.lastname: Katsanos
authors.forename: Maria
authors.initials: M
authors.lastname: Karapetsa
authors.forename: Ioanna
authors.initials: I
authors.lastname: Mpanaka
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Chatzoulis