alexa Concurrent Central Retinal Artery and Vein Occlusion in

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Case Report

Concurrent Central Retinal Artery and Vein Occlusion in a Pediatric Patient

Mohd Syafiq Bin Azman1*, Shawarinin Binti Jusoh1 and Akmal Haliza Binti Zamli2

1Hospital Tengku Ampuan, Afzan, Malaysia

2Universiti Kebangsaan, Malaysia

*Corresponding Author:
Mohd Syafiq bin Azman
Hospital Tengku Ampuan
Afzan, Malaysia
Tel: +60173129970
E-mail: [email protected]

Received date: May 18, 2017; Accepted date: May 29, 2017; Published date: June 10, 2017

Citation: Azman MSB, Jusoh SB, Zamli AHB (2017) Concurrent Central Retinal Artery and Vein Occlusion in a Pediatric Patient. Med Rep Case Stud 2: 136. doi: 10.4172/2572-5130.1000136

Copyright: © 2017 Azman MSB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Abstract Purpose: To describe a rare case of combined central retinal artery (CRAO) and vein occlusion (CRVO) in pediatric patient. Case report: We report a case of mixed right eye CRAO and CRVO in a healthy young girl. A nine- year-old child presented with right eye sudden loss of vision. Upon presentation vision was counting finger at 1 feet. Afferent pupillary defect was positive. Fundus examination revealed pre-retinal and retinal hemorrhages in all 4 quadrants with pale retina and cherry red spot. All blood test results were normal except elevated erythrocyte sedimentation rate and complement (C3, C4) level. Fluorescence angiogram revealed delayed arm to retina time, venous filling and large area of capillary fallout. Her right eye vision improved to 1/60 with intravenous steroids. Conclusion: Combined CRAO and CRVO is possible in a healthy children. Thorough investigations should be done to sought the cause and hence proper management applied


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