Case Reports in Ophthalmology (Mar 2024)

From Hair Loss to Vision Loss: Minoxidil-Associated CRVO in a Young Female

  • Lauren Pickel,
  • Patrick Xiang Ji,
  • Amr Abdelazim,
  • Nirojini Sivachandran

DOI
https://doi.org/10.1159/000537911
Journal volume & issue
Vol. 15, no. 1
pp. 220 – 224

Abstract

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Introduction: Central retinal vein occlusion (CRVO) is a common retinal vascular disorder that is most often seen in older adults and individuals with vascular risk factors. Case Presentation: We report a case of CRVO with cystoid macular edema (CME) in a young, otherwise healthy patient taking minoxidil for hair loss. The patient had no known vascular risk factors, and a comprehensive coagulability workup was negative. The CRVO with CME resolved without intervention upon cessation of minoxidil. Conclusion: Possible mechanisms for minoxidil-associated retinal vascular disorders are explored. Thorough medication histories and the consideration of possible adverse drug events in patients without traditional risk factors are recommended.

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