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Eye disease in sickling disorders

S Charache1

  • 1Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Hematology/Oncology Clinics of North America
|December 1, 1996
PubMed
Summary
This summary is machine-generated.

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Hematologists and oncologists must recognize eye lesions in sickle cell disease patients. Immediate referral is needed for hyphema, while retinal neovascularization and vitreous hemorrhage also warrant referral.

Area of Science:

  • Ophthalmology
  • Hematology
  • Genetics

Background:

  • Sickling disorders, such as sickle cell disease, can affect various organs, including the eyes.
  • Ocular complications in these patients can lead to vision impairment if not managed promptly.

Purpose of the Study:

  • To delineate the spectrum of ocular lesions in patients with sickling disorders.
  • To guide hematologists and oncologists on appropriate referral pathways for specific eye conditions.

Main Methods:

  • Review of clinical presentations and ophthalmological findings in patients with hemoglobin S.
  • Categorization of eye lesions based on urgency for ophthalmological referral and potential for vision loss.

Main Results:

  • Hyphema requires immediate referral to an ophthalmologist.

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  • Retinal neovascularization (proliferative retinopathy) and vitreous hemorrhage necessitate referral.
  • Comma sign, angioid streaks, and abnormal color vision are less frequently associated with vision decrease.
  • Conclusions:

    • Accurate identification of ocular manifestations is crucial for timely intervention in sickling disorders.
    • Understanding referral criteria for specific eye lesions can prevent irreversible vision loss.
    • Further research is needed on the efficacy of preoperative transfusion and antisickling therapies.