Salmon-Patch Hemorrhages After Central Retinal Artery Occlusion in Sickle Cell Disease
- 1 February 1981
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Ophthalmology (1950)
- Vol. 99 (2), 237-240
- https://doi.org/10.1001/archopht.1981.03930010239002
Abstract
• In two patients with sickle cell disease (one hemoglobin SC and one hemoglobin SS), central retinal artery occlusions developed. In one case, the occlusion followed a retrobulbar injection of lidocaine hydrochloride. Although the central retinal artery reperfused in each patient, many secondary peripheral retinal arteriolar occlusions remained. During the subsequent days, multiple salmon-patch hemorrhages developed in the distribution of these occluded arterioles. In one patient, the salmon-patch hemorrhages evolved into atrophic schisis cavities. These unusual cases allowed us to document the origin of salmon-patch hemorrhages after peripheral retinal arteriolar occlusions. The development of the hemorrhages was a delayed phenomenon that occurred hours to days after the initial vascular occlusion. Reperfusion of the damaged ischemic vessels with a blowout of the wall of the vessels seems the most likely explanation for this phenomenon.This publication has 8 references indexed in Scilit:
- OPHTHALMIC ARTERY PRESSURE DURING RETROBULBAR ANAESTHESIAActa Ophthalmologica, 1978
- Occlusion of the Central Retinal Artery After Retrobulbar Corticosteroid InjectionAmerican Journal of Ophthalmology, 1978
- Central Retinal Artery OcclusionAmerican Journal of Ophthalmology, 1975
- Photocoagulation and diathermy in the treatment of proliferative sickle retinopathy.British Journal of Ophthalmology, 1974
- Peripapillary and Macular Vessel Occlusions in Sickle Cell AnemiaAmerican Journal of Ophthalmology, 1973
- Ocular Findings in Sickle Cell Thalassemia in JamaicaAmerican Journal of Ophthalmology, 1972
- Ocular Findings in Hemoglobin SC Disease in JamaicaAmerican Journal of Ophthalmology, 1972
- Ocular Findings in Homozygous Sickle Cell Anemia in JamaicaAmerican Journal of Ophthalmology, 1972