Thrombosis of vena centralis retinae in young age or vasculitis?

Abstract

Thrombosis of v. centralis retinae is one of the most common retinal diseases after diabetes. It is typical for people over 55 years and the risk for it increases with age. It is extremely rare in young people where it is called, Papilophlebitis or Optic disc vasculitis. Aim: The aim of this survey is to present a peculiar clinical case of thrombosis of v.centralis retinae in young adult and describe the specific clinical picture and different therapeutic approach. Material and methods: We present the clinical case of 34 year old male, whom we examined with fluorescein angiography (FA), digital photography, blood tests, serology, immunology- HLA, and hemostasis. Results: We described a recurrent case of thrombosis of vena centralis retinae, with a typical edema of the optic nerve and a massive hemorrhagic syndrome in the posterior pole. A strong dissociation between the severity of the clinical picture and the relatively good visual acuity. Conclusion: Although it is believed that thrombosis of the retinal vein in young people is with good prognosis, peculiar cases with recurrent, progradient course of the occlusion and severe impairment of the visual acuity are also possible. In time diagnostics of this forms and their adequate hospital treatment are important prerequisite for the good outcome.