Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia
Joint Authors
Arévalo Simental, Diana E.
Roig Melo-Granados, Enrique A.
Cortés Quezada, Saúl
Páez Escamilla, Manuel A.
Soria Orozco, Carmen L.
Jacinto Buenrostro, Jorge E.
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-06
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Purpose.
To report a case of hemiretinal artery occlusion in a child with dextrocardia, visceral heterotaxia, and secondary polycythemia.
Methods.
Complete clinical examination, fundus photography, and retinal fluorescein angiography were performed.
Laboratory testing included complete blood cell count, homocysteine, protein c, protein s, activated protein s, methyltetrahydrofolate and homocysteine activator genes, factor leiden V gene, antithrombin III, and activated protein c resistance.
In addition, transthoracic and transesophageal echocardiogram and cardiac catheterism were performed.
Results.
We report an 11-year-old boy with a sudden, painless visual loss in his right eye.
His past medical history is remarkable for a congenital cardiac disease.
He presented with vision of light perception in the right eye and a relative afferent pupillary defect.
Fundus findings included a macular cherry-red spot and inferior hemiretinal whitening consistent with hemiretinal artery occlusion.
Laboratory testing showed increased red blood cell (RBC) count, hemoglobin, and hematocrit.
The patient was treated with four phlebotomies with improvement of RBC count and after one month reperfusion of the retina and a visual acuity of 20/200 were observed.
Thrombophilia and cardiac screening were negative, except for secondary polycythemia.
Conclusion.
Hemiretinal artery occlusion is extremely rare in children and is often associated with congenital cardiac disease and hypercoagulative states.
American Psychological Association (APA)
Arévalo Simental, Diana E.& Roig Melo-Granados, Enrique A.& Cortés Quezada, Saúl& Páez Escamilla, Manuel A.& Soria Orozco, Carmen L.& Jacinto Buenrostro, Jorge E.. 2016. Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia. Case Reports in Ophthalmological Medicine،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101822
Modern Language Association (MLA)
Arévalo Simental, Diana E.…[et al.]. Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia. Case Reports in Ophthalmological Medicine No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1101822
American Medical Association (AMA)
Arévalo Simental, Diana E.& Roig Melo-Granados, Enrique A.& Cortés Quezada, Saúl& Páez Escamilla, Manuel A.& Soria Orozco, Carmen L.& Jacinto Buenrostro, Jorge E.. Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia. Case Reports in Ophthalmological Medicine. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1101822
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101822