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Coagulation abnormalities and their neuro-ophthalmologic manifestations
1Neuro-ophthalmology Unit, Emory Eye Center, Atlanta, GA 30322, USA. vbiouss@emory.edu
Current Opinion in Ophthalmology
|February 8, 2000
Summary
Hypercoagulable states, an imbalance in blood clotting, can cause local thrombosis. New factors contributing to hypercoagulability are emerging, particularly in the eye and central nervous system.
Area of Science:
- Hematology
- Vascular Biology
- Neurology
Background:
- Hypercoagulable states result from an imbalance between procoagulant and anticoagulant factors.
- These conditions, though systemic, often manifest as localized thrombotic events in veins or arteries.
- Focal vascular wall defects or altered blood flow are likely necessary cofactors for thrombosis in hypercoagulable states.
Purpose of the Study:
- To review congenital and acquired hypercoagulable states.
- To highlight recent findings on novel factors contributing to hypercoagulability.
- To focus on recent data concerning focal thrombosis in the eye and central nervous system.
Main Methods:
- Literature review of congenital and acquired hypercoagulable states.
- Synthesis of recent research on newly identified hypercoagulability factors.
- Analysis of case studies and research on thrombosis in ocular and central nervous system vasculature.
Main Results:
- Identified numerous newly described factors associated with hypercoagulability.
- Confirmed the association between hypercoagulable states and localized thrombotic lesions.
- Highlighted recent data on focal thrombosis affecting the eye and central nervous system.
Conclusions:
- Hypercoagulable states require further investigation due to emerging factors.
- Understanding the interplay between systemic hypercoagulability and local vascular defects is crucial for preventing thrombosis.
- Recent advances provide critical insights into thrombotic events in the eye and CNS.
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