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Retinal Venous Occlusion as the Initial Sign of Tetralogy of Fallot
Arch Ophthalmol. 2002;120:516-517.
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Tetralogy of Fallot was originally described in 1888.1
It is primarily encountered in the pediatric population. It was described
by Étienne-Louis A. Fallot to consist of pulmonary atresia, dextroposed
aorta, interventricular septal defect, and right ventricular hypertrophy.
Approximately 3% of patients survive to age 40 years without surgical intervention.2 Longevity is believed to correlate with greater
pulmonary flow and milder degrees of arterial desaturation. Herein, we describe
a patient whose cardiac abnormality had gone undetected for 50 years until
he came to the eye clinic with visual complaints.
Report of a Case
A 50-year-old Carribean man came to the ophthalmology clinic complaining
of a 5-month history of blurred vision in the right eye. He stated that he
saw an ophthalmologist 5 months earlier when the symptoms started but failed
to return for follow-up owing to financial constraints. Ten days prior to
this visit, the patient reported having similar episodes of blurred vision
in the . . . [Full Text of this Article]
Comment
Corresponding author and reprints: Aruoriwo M. Oboh, MD, Department
of Ophthalmology, State University of New York, Downstate Medical Center,
450 Clarkson Ave, Box 58, Brooklyn, NY 11203.
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