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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Combined central retinal vein occlusion and cilioretinal artery occlusion in two...
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Available online 11 December 2024
Combined central retinal vein occlusion and cilioretinal artery occlusion in two young patients
Oclusión combinada de vena central de la retina y arteria ciliorretiniana en dos pacientes jóvenes
M. Comes-Carsí
Corresponding author
martacc6@gmail.com

Corresponding author.
, E. Gracia-Rovira, L. Manfreda-Domínguez, V.T. Pérez-Torregrosa, J.P. Liscombe-Sepúlveda, A.M. Duch-Samper
Servicio de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, Spain
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Abstract

We present 2 clinical cases of central retinal vein occlusion (CRVO) combined with cilioretinal artery occlusion (CRAO) in young patients with no cardiovascular risk factors (CVRF) or medical history of interest. An extensive etiological study with analytical and imaging tests was performed without finding relevant alterations. Finally, in the first case, the intake of 1 postcoital contraceptive pill was considered the triggering cause while, in the second case, the etiology was attributed to a previous infection by the SARS-Cov-2 virus. On both cases, antiplatelet treatment was initiated. In both patients the evolution was favorable, with good visual recovery.

Keywords:
Central retinal vein occlusion
Cilioretinal artery occlusion
Contraceptive pills
SARS-Cov-2
Resumen

Exponemos 2 casos clínicos de oclusión de la vena central de la retina (OVCR) combinada con oclusión de la arteria ciliorretiniana (ACLR) en pacientes jóvenes sin factores de riesgo cardiovascular (FRCV) ni antecedentes médicos de interés. Se realiza un amplio estudio etiológico con pruebas analíticas y de imagen sin encontrar alteraciones relevantes. Finalmente, en el primer caso, la toma de 1 píldora anticonceptiva postcoital es considerada la causa desencadenante mientras que, en el segundo, la etiología se atribuye a una infección previa por el virus SARS-Cov-2. En las dos ocasiones se instaura tratamiento antiagregante. En ambos pacientes la evolución es favorable, con buena recuperación visual.

Palabras clave:
Oclusión de la vena central de la retina
Oclusión de la arteria ciliorretiniana
Anticonceptivos
SARS-Cov-2

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