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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Papillophlebitis versus pediatric venous thrombosis. A case with 46C/T polymorph...
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Vol. 92. Issue 6.
Pages 291-294 (June 2017)
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Vol. 92. Issue 6.
Pages 291-294 (June 2017)
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Papillophlebitis versus pediatric venous thrombosis. A case with 46C/T polymorphism in the F12 coagulation gene
Papiloflebitis versus trombosis venosa pediátrica. Un caso con polimorfismo C46T del gen F12 de la coagulación
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A. Gargallo-Benedicto
Corresponding author
amparolinares_88@hotmail.com

Corresponding author.
, M. Cerdà-Ibáñez, Á. Olate-Pérez, R. Clemente-Tomás, I. Almor Palacios, J.M. Hervás Hernandis, A. Duch-Samper
Servicio de Oftalmología, Hospital Clínico Universitario de Valencia, Valencia, Spain
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Abstract
Clinical case

An 8-year-old boy with no known diseases, with sudden loss of visual acuity (VA) in the left eye (LE). Examination: VA 1 in right eye, and 0.1 in LE, discrete left relative afferent pupil defect (RAPD). Normal biomicroscopy. Funduscopy: congestive papilla, venous tortuosity, peripapillary hemorrhages with macular edema in LE. The systemic study only revealed A C46Tpolymorphism in the F12 coagulation gene. He had a VA of 1 and normal funduscopy 8 months later.

Discussion

Papillophlebitis is an inflammatory and non-ischemic central retinal vein occlusion, ophthalmoscopically similar to central retinal vein thrombosis. The systemic study is essential to rule out underlying diseases.

Keywords:
Papillophlebitis
Central retinal vein occlusion
Retinal vasculitis
Genetic polymorphism
Resumen
Caso clínico

Niño de 8 años, sin enfermedades, con pérdida brusca de la agudeza visual (AV) en el ojo izquierdo (OI). Exploración: AV 1 en el OD y 0,1 en el OI, discreto DPAR izquierdo. Biomicroscopía normal. Fundoscopía: papila congestiva, tortuosidad venosa, hemorragias peripapilares con edema macular en el OI. El estudio sistémico únicamente reveló polimorfismo C46T del gen F12 de la coagulación. Ocho meses después: AV de 1 con fundoscopía normal.

Discusión

La papiloflebitis es una oclusión de la vena central de la retina (VCR) inflamatoria no isquémica, oftalmoscópicamente semejante a las trombosis de VCR. El estudio sistémico es fundamental para descartar enfermedades subyacentes.

Palabras clave:
Papiloflebitis
Oclusión vena central retina
Vasculitis retiniana
Polimorfismo genético

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