Lee PSY, Alfaro C, Me R, Lin X. Acute macular infarctions in pediatric patients with hemoglobin SS disease.
Am J Ophthalmol Case Rep 2023;
32:101913. [PMID:
37663998 PMCID:
PMC10468796 DOI:
10.1016/j.ajoc.2023.101913]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 07/27/2023] [Accepted: 08/14/2023] [Indexed: 09/05/2023] Open
Abstract
Purpose
To report two cases of symptomatic posterior pole arterial occlusions in patients with hemoglobin SS disease.
Observations
Two teenage patients with hemoglobin SS disease presented with visual distortions, and on dilated fundus examination and testing, they were found to have arterial occlusions involving the posterior pole. The patients were evaluated for stroke with head imaging and received exchange transfusion by hematology.
Conclusions and Importance
This case series reports the unusual findings of arterial occlusions in the posterior pole resulting in areas of retinal whitening and ischemia in patients with HbSS. While sickle cell retinopathy is typically considered a peripheral retinal disease, these findings underscore the importance of vigilance when examining patients with sickle cell disease.
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