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Published on: August 6, 2021
[Essential thrombocythemia and retinal vein thrombosis]
V M Asensio Sánchez1, G Manteca Jiménez, E Cano Navarro
1Hospital General, Medina del Campo, Valladolid, Spain.
Archivos De La Sociedad Espanola De Oftalmologia
|January 4, 2005
Summary
Essential thrombocytosis, a platelet disorder, can manifest with serious retinal vascular complications. Early monitoring for these ocular issues is crucial, even with moderately elevated platelet counts.
Area of Science:
- Ophthalmology
- Hematology
- Vascular Biology
Background:
- Essential thrombocytosis is a myeloproliferative neoplasm characterized by excessive platelet production.
- Retinal vascular occlusions are a known but less common complication of essential thrombocytosis.
Observation:
- Two cases are presented: a woman with ischemic retina and retinal hemorrhages, and a man with central retinal vein occlusion.
- Both patients had signs suggestive of essential thrombocytosis, with one having a platelet count below 10^6/mm^3.
Findings:
- These cases highlight the potential for severe retinal vascular events in essential thrombocytosis.
- Ocular manifestations can be the presenting signs of this hematologic disorder.
Implications:
- Patients with essential thrombocytosis require vigilant ophthalmologic monitoring for vascular occlusions.
- Prompt diagnosis and management of essential thrombocytosis may prevent irreversible vision loss.
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