Unilateral sequential papillophlebitis and central retinal artery occlusion in a young healthy patient.

A 23‑year‑old girl presented to the clinic with metamorphopsia and photopsia in her left eye. After detailed ophthalmic examination, central retinal vein occlusion with optic disc edema was detected in that eye. Three days after diagnosis, the patient returned to our clinic with visual acuity decrease. Central retinal artery occlusion sparing cilioretinal artery was detected. All the laboratory tests were normal except for heterozygous methylenetetrahydrofolate reductase mutation (A1298C genotypes) and an indefinite Lyme disease seropositivity. Symptoms and visual disturbance recovered without any further treatment other than acetylsalicylic acid for prophylaxis.

A Case of Papillophlebitis in 21-year-old Healthy Male Adult

Papillophlebitis is a central retinal vein occlusion with papillitis and usually occurs in a young healthy adult. It is usually unilateral and symptoms include mild visual impairment, floaters of metamorphopsia. In contrast to central retinal vein occlusion in old age, there is usually no association with diabetes, hyopertension and cardiovascular disorder. Usually the retinal hemorrhage resolves spontaneousaly after several months and the papillitis decreases with good visual outcome. The authors experienced a papillophlebitis in 21-year-old male with sudden visual decrease of left eye. He had no systemic diseases. The patient recovered good vision with systemic steroid treatment. We report this case with review of previous reports.