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Case Report : Central Retinal Vein Occlusion with
Primary Pulmonary Hypertension
Navapol Kanchanaranya MD*, Duangmontree Rojdamrongratana MD* , Gaanchisa Vongchaiyakit MD*
Affiliation : * Department of Ophthalmology, Faculty of Medicine, Thammasat University, Rangsit Campus, Pathumthani, Thailand
Objective : To describe a case of retinal vein occlusion with history of primary pulmonary hypertension.
Material and Method: Case report
Results : We report a case of ischemic central retinal vein occlusion (CRVO) with secondary macular edema in a 23-year-old
woman with history of primary pulmonary hypertension. This patient was treated with intravitreal anti-vascular endothelial
growth factor (anti-VEGF) for macular edema. Her vision improved after treatment.
Conclusion : We present ischemic CRVO with secondary macular edema, where primary pulmonary hypertension is thought
to be the main risk factor. Treatment of macular edema, monthly follow-up, looking for sequential neovascularization and
systemic control of primary pulmonary hypertension are crucial in restoring vision and preventing CRVO in the fellow eye.
Keywords : Primary pulmonary hypertension, Ischemic CRVO, Anti-VEGF drug
