Unilateral sequential papillophlebitis and central retinal artery occlusion in a young healthy patient

Abstract

A 23-year-old girl presented to the clinic with metamorphopsia and photopsia in her left eye. After detailed ophthalmic examination, central retinal vein occlusion with optic disc edema was detected in that eye. Three days after diagnosis, the patient returned to our clinic with visual acuity decrease. Central retinal artery occlusion sparing cilioretinal artery was detected. All the laboratory tests were normal except for heterozygous methylenetetrahydrofolate reductase mutation (A1298C genotypes) and an indefinite Lyme disease seropositivity. Symptoms and visual disturbance recovered without any further treatment other than acetylsalicylic acid for prophylaxis.

Keywords

• A1298C mutation
• central retinal artery occlusion
• central retinal vein occlusion
• methylenetetrahydrofolate reductase gene mutation
• papillophlebitis