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Perivenular Macular Whitening During Acute Central Retinal Vein Occlusion
Arch Ophthalmol. 2003;121:1488-1491.
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We report a particular manifestation of presumed acute retinal ischemia, ie, the presence of perivenular macular whitening, in 3 cases of acute central retinal vein occlusion (CRVO). This aspect, which is most clearly evident on blue filter photographs, was associated with significant but transient loss of vision.
Case Reports
Case 1 A 54-year-old man complained of loss of vision in the right eye, which had started 4 days previously. His medical history included chronic lymphoid leukemia in remission. At the initial examination, visual acuity was 20/60 OD and 20/20 OS. Findings from anterior segment slitlamp biomicroscopy were unremarkable in both eyes. Intraocular pressure was 16 mm Hg OD, and 18 mm Hg OU. Fundus examination of the right eye revealed the presence of dilated veins and scattered hemorrhages (Figure 1A). Blue filter photographs indicated the presence of patchy areas of inner macular whitening affecting perivenular spaces in the median raphe . . . [Full Text of this Article]
Comment
Michel Paques, MD, PhD;
Alain Gaudric, MD
Paris, France
Corresponding author: Michel Paques, MD, PhD, Department of Ophthalmology, Fondation Ophtalmologique Rothschild, 25 Rue Manin, 75019 Paris, France (e-mail: michel.paques@laposte.net).
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ABSTRACT
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