Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia
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 co...
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Online Access: | http://dx.doi.org/10.1155/2016/5104789 |
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doaj-d93024509acf4e988ac491660d4d9ea02020-11-24T22:10:45ZengHindawi LimitedCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/51047895104789Hemiretinal Artery Occlusion in an 11-Year-Old Child with DextrocardiaDiana E. Arévalo Simental0Enrique A. Roig Melo-Granados1Saúl Cortés Quezada2Manuel A. Páez Escamilla3Carmen L. Soria Orozco4Jorge E. Jacinto Buenrostro5Antiguo Hospital Civil de Guadalajara, Universidad de Guadalajara, Guadalajara, JAL, MexicoAntiguo Hospital Civil de Guadalajara, Universidad de Guadalajara, Guadalajara, JAL, MexicoAntiguo Hospital Civil de Guadalajara, Universidad de Guadalajara, Guadalajara, JAL, MexicoAntiguo Hospital Civil de Guadalajara, Universidad de Guadalajara, Guadalajara, JAL, MexicoAntiguo Hospital Civil de Guadalajara, Universidad de Guadalajara, Guadalajara, JAL, MexicoAntiguo Hospital Civil de Guadalajara, Universidad de Guadalajara, Guadalajara, JAL, MexicoPurpose. 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.http://dx.doi.org/10.1155/2016/5104789 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Diana E. Arévalo Simental Enrique A. Roig Melo-Granados Saúl Cortés Quezada Manuel A. Páez Escamilla Carmen L. Soria Orozco Jorge E. Jacinto Buenrostro |
spellingShingle |
Diana E. Arévalo Simental Enrique A. Roig Melo-Granados Saúl Cortés Quezada Manuel A. Páez Escamilla Carmen L. Soria Orozco Jorge E. Jacinto Buenrostro Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia Case Reports in Ophthalmological Medicine |
author_facet |
Diana E. Arévalo Simental Enrique A. Roig Melo-Granados Saúl Cortés Quezada Manuel A. Páez Escamilla Carmen L. Soria Orozco Jorge E. Jacinto Buenrostro |
author_sort |
Diana E. Arévalo Simental |
title |
Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia |
title_short |
Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia |
title_full |
Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia |
title_fullStr |
Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia |
title_full_unstemmed |
Hemiretinal Artery Occlusion in an 11-Year-Old Child with Dextrocardia |
title_sort |
hemiretinal artery occlusion in an 11-year-old child with dextrocardia |
publisher |
Hindawi Limited |
series |
Case Reports in Ophthalmological Medicine |
issn |
2090-6722 2090-6730 |
publishDate |
2016-01-01 |
description |
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. |
url |
http://dx.doi.org/10.1155/2016/5104789 |
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