Sequential bilateral central retinal vein occlusions in a cystic fibrosis patient with hyperhomocysteinemia and hypergamma-globulinemia.

Retin Cases Brief Rep

Edward S. Harkness Eye Institute, Columbia University College of Physicians and Surgeons, New York, NY ; Mannhattan Eye, Ear, and Throat Hospital, New York, NY.

Published: January 2015

Purpose: To report a case of sequential bilateral central retinal vein occlusions in a cystic fibrosis patient with hyperhomocysteinemia and hypergamma-globulinemia over 6 years of follow up.

Methods: Observational case report of one patient.

Results: A 31 year-old male with a history of cystic fibrosis presented with a central retinal vein occlusion (CRVO) in his left eye, followed by a CRVO in his right eye 4 years later. His medical workup was significant for elevated levels of homocysteine and gamma-globulins, which coincided with initiation of intravenous immunoglobulin (IVIG) proceeding his second CRVO.

Conclusions: We describe a case of sequential bilateral central retinal vein occlusions in a cystic fibrosis patient with hyperhomocysteinemia and hypergamma-globulinemia over 6 years of follow up and discuss the important role of these risk factors in retinal venous occlusive disease.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3882319PMC
http://dx.doi.org/10.1097/ICB.0b013e3182965271DOI Listing

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