Combined central retinal vein occlusion and cilioretinal artery occlusion in an MTHFR C677T homozygous 26-year-old patient with hyperhomocysteinemia: Case report

Author:

Ioannidou Estelle1,Tseriotis Vasilis-Spyridon2,Syriga Maria3,Blougouras Thanos4,Soumplis Vasileios4,Karampelas Michael5

Affiliation:

1. Department of Ophthalmology, Hippokration General Hospital, Athens, Greece

2. Department of Neurology, Agios Pavlos General Hospital, Thessaloniki, Greece

3. Department of Ophthalmology, Konstantopoulio General Hospital, Agias Olgas, Nea Ionia, Athens, Greece

4. Private Practice, Kalamata, Greece

5. Department of 1Ophthalmology, Ophthalmiatreio Eye Hospital of Athens, Athens, Greece

Abstract

A 26-year-old female patient presented with sudden, painless visual disturbances in her right eye (RE). Fundus examination revealed signs of a central retinal vein occlusion (CRVO) (hemorrhages, mild venous tortuosity, mild disc swelling, and blurred disc margins), as well as a white ischemic area nasal to the optic nerve, suggesting a possible cilioretinal artery occlusion (CLRAO). A diagnosis of combined CRVO and nasal CLRAO with homozygosity for the C677T mutation in the methylenetetrahydrofolate reductase (MTHFR) gene and elevated levels of serum homocysteine was made. The patient was prescribed folic and acetylsalicylic acid and subsequent follow-up demonstrated gradual improvement.

Publisher

Medknow

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