Bilateral BRVO in a patient with recurrent prostate cancer.

Authors :: Castro-Navarro V
Odaibo SG
Ghodasra DH
Besirli CG
Source :: BMJ case reports [BMJ Case Rep] 2015 Oct 21; Vol. 2015. Date of Electronic Publication: 2015 Oct 21.
Publication Year :: 2015
Abstract: 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.<br /> (2015 BMJ Publishing Group Ltd.)