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A case of complete visual loss one month after occlusion of central retinal artery and vein Takamitsu Fujiwara 1 , Shigeki Machida 1 , Ken-ichi Murai 1 , Yutaka Tazawa 1 1Dept of Ophthalmol,Iwate Med Univ Sch of Med pp.83-87
Published Date 2005/1/15
DOI https://doi.org/10.11477/mf.1410100012
  • Abstract
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A 44-year-old woman presented with visual loss in her left eye since the day before. She had been treated with oral prednisolone for systemic lupus erythematosus since the age of 18. She had been diagnosed with systemic hypertension at the age of 35 years. Her corrected visual acuity was 1.0 right and light perception left. Her left eye showed optic disc edema with extensive flame-shaped hemorrhage. Fluorescein angiography showed no dye filling in central retinal artery for 10 minutes after injection. She was diagnosed with occlusion of central retinal artery and vein. Antiphospholipid syndrome was detected by laboratory studies. She received panretinal photocoagulation,systemic urokinase,low-molecular dextran and warfarin. Her vision was completely lost one month later due to retinal circulatory disturbance and optic atrophy. Presence of antiphospholipid syndrome appeared to be a major risk factor for occlusion of central retinal artery and vein.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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