Bilateral BRVO in a patient with recurrent prostate cancer.

Bilateral cases of branch retinal vein occlusions (BRVO) are infrequent and often related to systemic disease. A 72-year-old man with biochemical recurrence of prostate cancer was referred for decreased vision in his left eye.

Fundus examination and fluorescein angiography disclosed bilateral BRVO with patches of peripheral non-perfusion and macular oedema in the left eye. A systemic work up revealed elevated fibrinogen and reduced free protein S antigen, consistent with an underlying hypercoagulable state. Cancer is a well-known cause of hypercoagulability. We report the first case of bilateral BRVO related to biochemical recurrence of prostate cancer and a proven coagulation derangement.

BMJ case reports. 2015 Oct 21*** epublish ***

Veronica Castro-Navarro, Stephen G Odaibo, Devon H Ghodasra, Cagri G Besirli

Hospital General Universitario de Valencia, Valencia, Spain Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA. , Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA. , Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA. , Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.

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