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Red eyes first sign of the sickle cell disease

Rodrigo Martín Torres, Pablo Gabriel Lódolo
  • Rodrigo Martín Torres
    Centro De Ojos Dr. Lódolo, Entre Rios, Paraná, Argentina | romator7@hotmail.com
  • Pablo Gabriel Lódolo
    Centro De Ojos Dr. Lódolo, Entre Rios, Paraná, Argentina

Abstract

A patient with red eyes and ocular decongestants drops (tetrahidrozolyne 0.05%) use history, was observed by an optometrist and referred to an ophthalmic consult. The redness of their eyes was secondary to conjunctival vessel micro-hemorraghe (petechiaes). After a complete ophthalmology and hematologist exploration a Cell Sickle Disease was diagnosed as the cause of the vascular disorder. An hematologist treat it and the ocular redness was resolved. This case emphasizes the problem about self-medication and remark the importance of the optometrist working together with the ophthalmologist to prevent ocular complains as well as systemic disease.

Keywords

1- Leibowitz HM. The red eye. N Engl J Med 2000;343:345-51. 2- Tappeiner C, Sarra GM, Abegg M. Abuse of vasoconstrictive eyedrops mimicking an ocular pemphigoid. Eur J Ophthalmol 2009;19:129-32. 3- Xuan B, Chiou GC. Efficacy of oxymetazoline eye drops in

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Submitted: 2011-08-12 21:39:43
Published: 2011-10-13 16:29:39
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References

Leibowitz HM. The red eye. N Engl J Med 2000;343:345-51.

Tappeiner C, Sarra GM, Abegg M. Abuse of vasoconstrictive eyedrops mimicking an ocular pemphigoid. Eur J Ophthalmol 2009;19:129-32.

Xuan B, Chiou GC. Efficacy of oxymetazoline eye drops in non-infectious conjunctivitis, the most common cause of acute red eyes. J Ocul Pharmacol Ther 1997;13:363-7.

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Penman AD, Talbot JF, Chuang EL, et al. New classification of peripheral retinal vascular changes in sickle cell disease. Br J Ophthalmol 1994;78:681-9.

Torres AF, Eberle SE, Sciuccati G, Bonduel M. Effect of hydroxyurea on hemoglobin S. Medicina (B Aires) 2003;63:140-2.

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Copyright (c) 2011 Rodrigo Martín Torres, Pablo Gabriel Lódolo

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