title: Branch retinal artery occlusion and non-ischemic central retinal vein occlusion due to hyperhomocysteinemia in a 14-year-old child.
abstract: A 14-year-old girl presented with sudden, painless loss of vision in the left eye. Complete ophthalmologic examination including fluorescein angiography revealed an impending central vein occlusion and a branch retinal artery occlusion inferotemporally. One month later, there was a non-ischemic central retinal vein occlusion of the same eye. Systemic evaluation led to the diagnosis of hyperhomocysteinemia. This case report underscores the importance of excluding hyperhomocysteinemia in vascular occlusive disease.
authors.affiliation: Department of Ophthalmology, Bronx-Lebanon Hospital Center, Albert Einstein College of Medicine, Bronx, New York 10457, USA. psr_eyemd@yahoo.com
authors.forename: Pearl S
authors.initials: PS
authors.lastname: Rosenbaum
authors.forename: Sharmila
authors.initials: S
authors.lastname: Srinivasan
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Zelefsky
authors.forename: Martin
authors.initials: M
authors.lastname: Mayers
authors.forename: Issac E
authors.initials: IE
authors.lastname: Moradi
mesh_terms: D000293:Adolescent; D001766:Blindness / Q000209:etiology; D005260:Female; D005451:Fluorescein Angiography; D006710:Homocysteine / Q000097:blood; D006801:Humans; D020138:Hyperhomocysteinemia / Q000150:complications*; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000209:etiology*; D012170:Retinal Vein Occlusion / Q000175:diagnosis / Q000209:etiology*; D012171:Retinal Vessels / Q000473:pathology*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology; D058609:Visual Field Tests; D014794:Visual Fields / Q000502:physiology
chemical_list: D006710:Homocysteine