Cilioretinal obstruction during pregnancy.
Por:
Vila-Arteaga J, Suriano MM and Martínez-Lajara A
Publicada:
1 sep 2017
Ahead of Print:
14 dic 2016
Categoría:
Ophthalmology
Resumen:
PURPOSE: To determine the number of patients diagnosed over a 5-year
period with isolated occlusion of the cilioretinal artery (CRAO) whilst
pregnant, as well as to describe the outcomes and ophthalmological
sequelae of this condition in pregnant woman.
METHODS: A retrospective study of the medical records.
RESULTS: From the 135 patients diagnosed with retinal arterial occlusion
of all of our series, 20 (14.8%) had CRAO, and 2 (1.48%) of these were
pregnant. Case 1: A 34 year-old pregnant woman with a centrocaecal
scotoma and visual acuity of 20/20 in right eye. Fundus examination: A
soft exudate in the papillomacular bundle with retinal oedema and
embolism on a cilioretinal artery branch. The exudate and oedema
disappeared after 5 weeks, and the scotoma was reduced. Case 2: A 30
year-old pregnant woman, with normal visual acuity in right eye, and a
centrocaecal scotoma. Fundoscopy: An area of retinal interpapillomacular
infarction due to cilioretinal artery occlusion. The fundus returned to
normal in 4 weeks, with an improvement of the scotoma.
CONCLUSIONS: The aetiology of CRAO is usually associated with carotid
disease or other thromboembolic events related to hypercoagulable states
and autoimmunity. Pregnancy is considered a hypercoagulable state, and
it is not known if it is a risk factor for arterial embolism. Further
studies are required to determine the correlation between pregnancy and
CRAO.
Filiaciones:
Vila-Arteaga J:
Hospital Universitario y Politécnico La Fe, Valencia, España
Clínica Vila Grupo Innova Ocular, Valencia, España
:
Universitat Jaume I, Castellón, España.
Hospital General Universitario de Castellón, Castellón, España
Martínez-Lajara A:
Hospital de Dénia-Marina Salud, Alicante, España
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