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Extensive upper-extremity venous thrombosis after fluorescein angiography
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
American Journal of Ophthalmology
|April 30, 2005
Summary
A case report details extensive cephalic and basilic venous thrombosis following fluorescein angiography. This rare complication highlights the need for vigilance in ophthalmology regarding upper-extremity venous thrombosis.
Area of Science:
- Ophthalmology
- Vascular Medicine
- Medical Case Reports
Background:
- Central serous retinopathy is a condition causing vision blurring.
- Fluorescein angiography is a diagnostic imaging technique used in ophthalmology.
Observation:
- A 38-year-old male experienced vision blurring in his left eye due to central serous retinopathy.
- The patient underwent a routine fluorescein angiography procedure.
Findings:
- Following the procedure, the patient developed right arm inflammation over four days.
- Duplex scan confirmed extensive superficial venous thrombosis in the right upper limb, involving the cephalic and basilic veins.
Implications:
- This case represents the first reported instance of venous thrombosis after fluorescein angiography.
- Proper arm positioning during intravenous cannulation may mitigate the risk of such complications.
- Ophthalmologists should be aware of this potential, albeit infrequent, complication.