Bilateral BRVO in a patient with recurrent prostate cancer.
Bilateral cases of branch retinal vein occlusions (BRVO) are infrequent and often related to systemic disease. A 72-year-old man with biochemical recurrence of prostate cancer was referred for decreased vision in his left eye. Fundus examination and fluorescein angiography disclosed bilateral BRVO with patches of peripheral non-perfusion and macular oedema in the left eye. A systemic work up revealed elevated fibrinogen and reduced free protein S antigen, consistent with an underlying hypercoagulable state. Cancer is a well-known cause of hypercoagulability. We report the first case of bilateral BRVO related to biochemical recurrence of prostate cancer and a proven coagulation derangement.
Hospital General Universitario de Valencia, Valencia, Spain Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.
Veronica
V
Castro-Navarro
Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.
Stephen G
SG
Odaibo
Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.
Devon H
DH
Ghodasra
Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.
Cagri G
CG
Besirli
D000368:Aged; D005451:Fluorescein Angiography; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000150:complications*; D011471:Prostatic Neoplasms / Q000150:complications*; D012170:Retinal Vein Occlusion / Q000175:diagnosis / Q000209:etiology*; D019851:Thrombophilia / Q000150:complications*; D041623:Tomography, Optical Coherence