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.