Multiple Successive Branch Retinal Artery Occlusions in a Patient With Antiphospholipid Syndrome Despite Anticoagulation.

IF 0.5 Q4 OPHTHALMOLOGY
Samantha R Goldburg, Albert S Li
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引用次数: 0

Abstract

Purpose: To describe a patient with antiphospholipid syndrome presenting with branch retinal artery occlusions (BRAO) despite anticoagulation. Methods: A single case was evaluated. Results: A 53-year-old woman with antiphospholipid syndrome on anticoagulation presented for a routine ophthalmic examination. She had no visual complaints, and the visual acuity was 20/25-1 OD and 20/30-1 OS. A BRAO was found in the right eye. Despite treatment with aspirin, warfarin, prednisone, plasmapheresis, and rituximab, multiple new occlusions were found when the patient returned the next month. She ultimately had a stroke, which led to her death. Conclusions: This case underscores the importance of interdisciplinary care for patients with antiphospholipid syndrome presenting with BRAOs despite anticoagulation.

尽管抗凝治疗,抗磷脂综合征患者的多个连续视网膜分支动脉闭塞。
目的:描述一例抗磷脂综合征患者,尽管抗凝治疗,但仍表现为视网膜分支动脉闭塞(BRAO)。方法:对单个病例进行评价。结果:一名53岁女性,因抗凝治疗出现抗磷脂综合征,接受眼科常规检查。无视觉不适,视力20/25-1 OD, 20/30-1 OS。在右眼发现一处BRAO。尽管给予阿司匹林、华法林、强的松、血浆置换和利妥昔单抗治疗,当患者下个月返回时仍发现多发新的闭塞。她最终中风而死。结论:该病例强调了在抗凝治疗后出现BRAOs的抗磷脂综合征患者进行跨学科护理的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.20
自引率
16.70%
发文量
0
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