Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 4 Issue 9

Combined Central Retinal Vein and Cilioretinal Artery Occlusion in Pregnancy treated with Intravitreal Triamcinolone Acetonide

Minakshi Sheokand1*, Dhir Pushkar2, Bajaj Piyush2 and Dhir Parikshit2

1Charak Pallika Hospital, NDMC, Moti Bagh, New Delhi, India
2Dhir Hospital and Eye Institute, Meham Chowk, Bhiwani, Haryana, India

*Corresponding Author: Minakshi Sheokand, Cataract and Cornea Refractive Services, Charak Pallika Hospital, NDMC, Moti Bagh, New Delhi, India.

Received: May 22, 2021; Published: August 06, 2021

Abstract

Pregnancy represents hypercoagulable state with increased risk for thrombotic events. There are few reports of pregnancy-related retinal vein occlusion cases. We report a case of 7 month pregnant female presented with a loss of vision in her right eye with prior history of pre-eclampsia in her first pregnancy. Vision in the affected eye was 6/24. Complete ophthalmic examination revealed combined central retinal vein and cilioretinal artery occlusion. Optical coherence tomography, low dose angiography and carotid doppler study was done along with complete thrombophilic screening. She was treated with anterior chamber paracentesis and topical e/d dorzolamide. After detailed counseling and an informed consent, intravitreal triamcinolone was given. Six weeks post intervention there was complete resolution of edema with best corrected visual acuity (BCVA) of 6/9. No adverse outcomes for either mother or fetus were noted. We report this case to highlight pregnancy as risk factor for combined vascular occlusion and role of intra-vitreal steroid in treatment.

Keywords: Pregnancy; Combined Vascular Occlusion; Intravitreal; Triamcinolone Acetonide

References

  1. Will S K., et al. “Retinal artery and vein thrombotic occlusion during pregnancy: markers for familial thrombophilia and adverse pregnancy outcomes”. Clinical Ophthalmology 10 (2016): 935-938.
  2. Shilpa Y D., et al. “Bilateral central retinal artery occlusion in a case of eclampsia”. Egyptian Retina Journal 5 (2018): 50-52.
  3. Ahmad Syed S., et al. “Protein S Deficiency Related Retinal Artery Occlusion in a Pregnant Chinese Woman”. American Journal of Medical Case Reports9 (2014): 175-180.
  4. Loh MA., et al. “Bilateral central retinal vein occlusion in a pregnant lady”. Medical Journal of Malaysia2 (2017): 130-132.
  5. Yoo R., et al. “Dexamethasone intravitreal implant for diabetic macular edema in a pregnant patient”. International Journal of Ophthalmology-IJO10 (2016): 1524-1527.
  6. Fazelat A and Lashkari K. “Off-label use of intravitreal triamcinolone acetonide for diabetic macular edema in a pregnant patient”. Clinical Ophthalmology 5 (2011): 439-441.
  7. Degenring RF and Jonas JB. “Serum levels of triamcinolone acetonide after intravitreal injection”. American Journal of Ophthalmology6 (2004): 1142-1143.

Citation

Citation: Minakshi Sheokand., et al. “Combined Central Retinal Vein and Cilioretinal Artery Occlusion in Pregnancy treated with Intravitreal Triamcinolone Acetonide".Acta Scientific Ophthalmology 4.9 (2021): 09-12.

Copyright

Copyright: © 2021 Minakshi Sheokand., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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