Sudden Unilateral Impairment of Vision
A 77-year-old woman presented to a hospital ophthalmology service with sudden impairment of vision in the right eye. In a test of visual acuity, she could only read the upper lines of the eye chart with the right eye. Fundoscopy revealed disseminated intraretinal hemorrhages and macular edema due to central retinal vein occlusion. She underwent eye surgery for the intravitreal administration of a VEGF inhibitor, as well as isovolemic hemodilution. An assessment for cardiovascular risk factors was positive for smoking (60 py), hypercholesterolemia (296 mg/dL), and WHO stage I arterial hypertension; none of these conditions had been treated.
Central retinal vein occlusion usually arises in persons with advanced vascular disease. The affected patients should undergo cardiovascular evaluation.
Andreas Rauscher, FEBO, Prof. Dr. med. Josef Schmidbauer Universitätsklinik für Augenheilkunde, Paracelsus Medizinische Privatuniversität, Nürnberg, email@example.com
Conflict of interest statement
The authors declare that no conflict of interest exists.
Cite this as: Rauscher A, Schmidbauer J: Sudden unilateral impairment of vision.
Dtsch Arztebl Int 2017; 114: 222. DOI: 10.3238/arztebl.2017.0222
Translated from the original German by Ethan Taub, M.D.