The Contribution of the Hematological Examination in Patients with Retinal
Vein Occlusion
Kováčová M., Pochop P., Hochová I.1, Dotřelová D., Darsová D.
Oční klinika dětí a dospělých UK 2. LF a FN Motol, Praha, přednostka doc. MUDr. D. Dotřelová, CSc. 1Oddělení klinické hematologie FN Motol, Praha, primářka MUDr. Ivana Hochová |
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Summary:
Objective: The aim of this study is to evaluate outcomes of hematological
examinations in patients under 60 years of age affected by central (CRVO) or branch (BRVO) retinal vein occlusion. Furthermore, it also proves possible
existence of risk factors resulting in early atherosclerosis and hematological
disease.
Patients and methods: Eleven patients (5 women and 6 men) of 38 years of age
in average (15–56 years) were examined. Eight patients suffered from CRVO, 3
patients from BRVO. All patients were tested for hematological diseases. We
focused on the following hematological parameters: presence of paraprotein,
homocysteine blood level, lipoprotein A, presence of antiphospholipid antibody,
level of activated protein C resistance, protein S, protein C, antithrombin III.
The average follow up period was 19 months.
Results: hematological screening was positive in 5 patients, 4 patients out of
them suffered from CRVO. High homocysteine blood level was detected in 2
patients and more over, an increased level of antiphospholipid antibodies was
diagnosed in 1 patient. An increased level of lipoprotein A was determined in 2
remaining patients. BRVO was diagnosed in one case. Outcome of the
hematological examination proved the pathological level of activated protein C
resistance and lower level of protein S.
Conclusion: according to these results we assume, the co-existence of more risk
factors for hematological disease increase the probability of CRVO.
Key words:
central (CRVO) and branch (BRVO) retinal vein occlusion,
homocysteine blood level, lipoprotein A, antiphospholipid antibody
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