title: Spontaneous ophthalmic artery occlusion in children due to Hyperhomocysteinemia.
abstract: Ophthalmic artery occlusion usually presents as a sudden onset profound decrease in vision in the middle-aged and elderly patients following periocular procedures (retrobulbar injection/glabellar fat injection), embolism from the heart or after prolonged systemic surgery. In this report, we describe three children with spontaneous ophthalmic artery occlusion who presented with unilateral loss of vision and diagnosed elsewhere as optic atrophy whose detailed history and examination were suggestive of ophthalmic artery occlusion. Detailed systemic and laboratory evaluation revealed hyperhomocysteinemia as the only potential risk factor. To the best of our knowledge, this is the first report of the association of hyperhomocysteinemia and spontaneous ophthalmic artery occlusion.
authors.affiliation: Department of Pediatric Ophthalmology, Strabismus and Neuro-ophthalmology, Nimmagada Prasad Children's Eye Care Centre, GMRV Campus, Visakhapatnam, Andhra Pradesh, India.
authors.forename: Virender
authors.initials: V
authors.lastname: Sachdeva
authors.affiliation: Department of Pediatric Ophthalmology, Strabismus and Neuro-ophthalmology, Nimmagada Prasad Children's Eye Care Centre, GMRV Campus, Visakhapatnam, Andhra Pradesh, India.
authors.forename: Ravi
authors.initials: R
authors.lastname: Garg
authors.affiliation: Department of Retina and Vitreous Surgery, LV Prasad Eye Institute, GMRV Campus, Visakhapatnam, Andhra Pradesh, India.
authors.forename: Avinash
authors.initials: A
authors.lastname: Pathengay
authors.affiliation: Department of Pediatric Ophthalmology, Strabismus and Neurophthalmology, Jasti V Ramanamma Children's Eye Care Centre, LVPEI, KAR Campus, Hyderabad, Andhra Pradesh, India.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Kekunnaya
keywords: Children; hyperhomocysteinemia; ophthalmic artery occlusion