Extensive upper-extremity venous thrombosis after fluorescein angiography
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Updated: Aug 18, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Jacob Y C Cheng1, Eng-Yiat Yap, Alexandre K H Chao
1Singapore National Eye Center, Singhealth, 11 Third Hospital Avenue, Singapore 168751. chengyen@singnet.com.sg
Purpose:
To report a case of extensive cephalic and basilic venous thrombosis after fluorescein angiography.
Design:
Interventional case report.
Methods:
A 38-year-old Chinese male presented with blurring of vision in his left eye. Clinical examination revealed central serous retinopathy, and a routine fluorescein angiography was performed.
Results:
He developed inflammation over the right arm over 4 days. Duplex scan disclosed extensive superficial venous thrombosis of the right upper limb with occlusion of the basilic vein and cephalic vein in the proximal right upper arm to the level of the midarm. He was treated medically but was subsequently lost to follow-up.
Conclusions:
Extensive upper-extremity venous thrombosis is infrequent after single-shot intravenous cannulation. Venous thrombosis occurring after fluorescein angiography has not been reported up to this time. It is possible that proper arm positioning during the procedure may reduce this risk, and ophthalmologists should be vigilant of this potentially unusual complication.
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