R G Cohen1, T R Hedges, J S Duker. 1. New England Eye Center, New England Medical Center, Tufts University School of Medicine, Boston, MA, USA.
Abstract
PURPOSE/ METHODS: Central retinal artery occlusion occurs infrequently in children. We treated a child with central retinal artery occlusion before a systemic disease was discovered. RESULTS/ CONCLUSION: Vision improved after paracentesis and anticoagulation. Systemic T-cell lymphoma was subsequently diagnosed. In contrast to older patients in whom atheromatous disease is a common etiologic factor, children frequently have more obscure systemic or ocular associations. Lymphoma should be considered as a possible systemic association in cases of central retinal artery occlusion, especially in younger patients who are less at risk for the more common causes.
PURPOSE/ METHODS: Central retinal artery occlusion occurs infrequently in children. We treated a child with central retinal artery occlusion before a systemic disease was discovered. RESULTS/ CONCLUSION: Vision improved after paracentesis and anticoagulation. Systemic T-cell lymphoma was subsequently diagnosed. In contrast to older patients in whom atheromatous disease is a common etiologic factor, children frequently have more obscure systemic or ocular associations. Lymphoma should be considered as a possible systemic association in cases of central retinal artery occlusion, especially in younger patients who are less at risk for the more common causes.
Authors: Maria Elena Gregory; Vikas Chadha; Fiona Roberts; Ewan G Kemp; Paul A Cauchi Journal: Graefes Arch Clin Exp Ophthalmol Date: 2010-10-21 Impact factor: 3.117