Bilateral Central Retinal Vein Occlusion in Primary Antiphospholipid Syndrome.

Kim, Sang Hyuk; Kim, Jung Yeul

doi:2007.48.10.1433

J Korean Ophthalmol Soc > Volume 48(10); 2007 > Article

Case Report

Journal of the Korean Ophthalmological Society 2007;48(10):1433-1437.
DOI: https://doi.org/10.3341/jkos.2007.48.10.1433 Published online October 31, 2007.

Bilateral Central Retinal Vein Occlusion in Primary Antiphospholipid Syndrome.

Sang Hyuk Kim, Jung Yeul Kim

¹Department of Ophthalmology, College of medicine,Chungnam National University, Daejeon, Korea. kimjy@cnu.ac.kr
²Chungnam National University Research Institute for Medical Sciences, Daejeon, Korea.

원발성 항인지질증후군에서 발생한 양안의 망막중심정맥폐쇄

김상혁¹,김정열^1,2

Department of Ophthalmology, College of medicine,Chungnam National University¹, Daejeon, Korea¹ Chungnam National University Research Institute for Medical Sciences², Daejeon, Korea¹

Correspondence: Jung Yeul Kim, M.D.

Abstract

PURPOSE
To Report a case of bilateral central retinal vein occlusion (CRVO) caused by primary antiphospholipid syndrome. METHODS: A 38-year-old male is referred to the department of ophthalmology for the bilateral visual loss. RESULTS: On initial visit, both visual acuity was 0.3. Upon consider changing to fundoscopic examination, the patient was diagnosed with bilateral CRVO. We performed hematologic tests including thrombophilia examination. There were no abnormal findings on routine hematologic tests. Antinuclear antibody and rheumatoid factor were negative but anticardiolipin antibodies presented high titer, on two occasions six weeks apart. We prescribed oral aspirin and performed intravitreal bevacizumab injection under the diagnosis of bilateral CRVO in primary antiphospholipid syndrome. CONCLUSIONS: It may be necessary to check antiphospolipid antibody in cases of bilateral CRVO in young patients without medical problem.

Key Words: Antiphospholipid syndrome;Anticardiolipin antibody;Central retinal vein occlusion