Choroidal ischemia and sickle cell trait ·Letter to the Editor· Choroidal vascular occlusion in a young male patient with sickle cell trait Maria Kotoula, Eleni Papageorgiou, Foteini Xanthou, Sotirios Kalampalikis, Sofia Androudi, Evangelia E. Tsironi Department of Ophthalmology, University Hospital of Larissa, Fluorescence angiography (FA) showed mild RPE Mezourlo Area 41222, Larissa, Greece irregularities. Due to the discrepancy between the subtle Co-first authors: Maria Kotoula and Eleni Papageorgiou clinical findings and the visual acuity loss, an indocyanine Correspondence to: Eleni Papageorgiou. Department of green (ICG) angiography was performed, which demonstrated Ophthalmology, University Hospital of Larissa, Mezourlo Area subfoveal choroidal ischemia (Figure 2). OCT-A was not 41222, Larissa, Greece.
[email protected] available at presentation of the patient. Received: 2017-06-18 Accepted: 2017-12-15 Further medical workup revealed mixed hyperlipidemia (total cholesterol 240 mg/dL, low-density lipoprotein LDL- DOI:10.18240/ijo.2018.03.28 cholesterol 170 mg/dL, triglycerides 330 mg/dL) and idiopathic arterial hypertension (blood pressure of 145/95 mm Hg). The patient Citation: Kotoula M, Papageorgiou E, Xanthou F, Kalampalikis S, was further investigated for autoimmune, thrombophilic, and Androudi S, Tsironi EE. Choroidal vascular occlusion in a young male hyperviscosity disorders. Auto-antibody levels were within patient with sickle cell trait. Int J Ophthalmol 2018;11(3):528-532 normal limits. Laboratory evaluation including a complete blood count, peripheral blood smear, serum electrolytes and Dear Editor, serum viscosity did not reveal abnormal findings. Additionally, [1] horoidal vascular occlusion is a rare finding . Choroidal a thrombophilia work-up including blood count, type and perfusion disorders may range from focal infarction of C screen, total protein, albumin, antithrombin, prothrombin time, the choriocapillaris to fibrinoid arteriolar necrosis[2].