warfarin and Blindness

Internal jugular vein thrombosis (IJVT) is an uncommon condition, which is often not correctly diagnosed clinically. Diagnosis is readily made by duplex scan, computerized tomography with contrast or magnetic resonance imaging. A case of IJVT following carotid endarterectomy with intra-operative retraction of the internal jugular vein is reported.

Topics: Blindness; Carotid Artery, Internal; Carotid Stenosis; Drug Therapy, Combination; Endarterectomy, Carotid; Heparin; Humans; Jugular Veins; Male; Middle Aged; Postoperative Complications; Radiography; Recurrence; Thrombosis; Ultrasonography; Warfarin

Topics: Animals; Antidepressive Agents, Tricyclic; Aspirin; Blindness; Blood Platelets; Cerebrovascular Disorders; Clinical Trials as Topic; Clofibrate; Dipyridamole; Drug Therapy, Combination; Fibrinolytic Agents; Heart Valve Prosthesis; Humans; Ischemic Attack, Transient; Male; Prospective Studies; Pyrimidines; Retrospective Studies; Sulfinpyrazone; Thromboembolism; Warfarin

Topics: Animals; Antidepressive Agents, Tricyclic; Aspirin; Blindness; Blood Platelets; Cerebrovascular Disorders; Clinical Trials as Topic; Clofibrate; Dipyridamole; Drug Therapy, Combination; Fibrinolytic Agents; Heart Valve Prosthesis; Humans; Ischemic Attack, Transient; Male; Prospective Studies; Pyrimidines; Retrospective Studies; Sulfinpyrazone; Thromboembolism; Warfarin

Topics: Adult; Age Factors; Aged; Blindness; Female; Hemorrhage; Heparin; Humans; Male; Middle Aged; Retinal Vein; Streptokinase; Vascular Diseases; Visual Acuity; Warfarin

Central retinal artery occlusion (CRAO) is a devastating ocular emergency characterized by acute painless visual loss in the ipsilateral eye. We describe the case of acute non-arteritic CRAO associated fusiform internal carotid-ophthalmic artery aneurysm with intraluminal thrombus. Despite the rarity of this condition, we suggest that carotid-ophthalmic artery aneurysm should be included in the differential diagnosis of CRAO.

Topics: Adult; Anticoagulants; Blindness; Carotid Artery Diseases; Carotid Artery, Internal; Female; Functional Laterality; Humans; Magnetic Resonance Imaging; Ophthalmic Artery; Retinal Artery Occlusion; Warfarin

Topics: Anticoagulants; Blindness; Echocardiography, Doppler, Color; Heart Defects, Congenital; Humans; Male; Middle Aged; Retinal Artery Occlusion; Visual Acuity; Visual Fields; Warfarin

Topics: Accidental Falls; Acetazolamide; Administration, Oral; Aged, 80 and over; Anticoagulants; Atrial Fibrillation; Blindness; Combined Modality Therapy; Decompression, Surgical; Emergencies; Female; Follow-Up Studies; Humans; Infusions, Intravenous; Orbit; Retrobulbar Hemorrhage; Tomography, X-Ray Computed; Visual Acuity; Warfarin; Wounds, Nonpenetrating

Topics: Adult; Anticoagulants; Blindness; Diagnosis, Differential; Factor VII Deficiency; Female; Humans; Retrobulbar Hemorrhage; Tomography, X-Ray Computed; Venous Thrombosis; Warfarin

Topics: Aged; Anticoagulants; Blindness; Diabetic Retinopathy; Female; Humans; Retinal Hemorrhage; Warfarin

Topics: Aged; Aged, 80 and over; Anticoagulants; Atrial Fibrillation; Blindness; Choroid Hemorrhage; Female; Humans; Macular Degeneration; Warfarin

Acute bilateral blindness is an emergent condition that may signal life-threatening disease. This article details an emergency medicine approach to the patient with acute bilateral blindness, and reports a case of an elderly woman whose sole presenting complaint was acute loss of vision. She was ultimately diagnosed as having pulmonary embolism. The approach focuses on identification of life-threatening disease processes, while differentiating between ocular, psychogenic, and cortical etiologies.

Topics: Acute Disease; Aged; Aged, 80 and over; Anticoagulants; Blindness; Female; Humans; Pulmonary Embolism; Warfarin

A 66-year-old woman receiving anticoagulant therapy experienced a spontaneous massive subretinal hemorrhage that led to blindness and intractable glaucoma in the involved eye and necessitated enucleation. Clinical and histopathological observations suggested that the bleeding originated from blood vessels within an area of disciform macular degeneration. If the patient had not been receiving anticoagulant therapy the hemorrhage would presumably have been more limited.

Topics: Aged; Anticoagulants; Blindness; Female; Glaucoma; Humans; Macular Degeneration; Middle Aged; Retinal Hemorrhage; Ultrasonography; Warfarin

Topics: Adult; Blindness; Diabetic Retinopathy; Female; Humans; Middle Aged; Warfarin

A 56-year-old male patient diagnosed as a case of procainamide-induced systemic lupus erythematosus (SLE) was found to have a lymphoproliferative disorder at postmortem examination.Contrary to other immune disorders, the association of SLE with neoplasia is a rare occurrence. The present case raises the question of whether a relationship exists between the lupus diathesis and lymphoreticular neoplasia. The study of the incidence of neoplasia in families of patients with SLE may prove helpful in establishing this relationship.

Topics: Aortic Diseases; Autopsy; Blindness; Bone Marrow; Digoxin; Drug Therapy, Combination; Heart Diseases; Heparin; Humans; Immunologic Deficiency Syndromes; Kidney; Lupus Erythematosus, Systemic; Lymph Nodes; Lymphoma; Male; Middle Aged; Procainamide; Quinidine; Retinal Artery; Spleen; Thromboembolism; Warfarin

Topics: Adult; Blindness; Female; Fibrinolysin; Heparin; Humans; Intracranial Embolism and Thrombosis; Male; Middle Aged; Retinal Vessels; Thrombosis; Warfarin

Topics: Anti-Bacterial Agents; Blindness; Cavernous Sinus Thrombosis; Cellulitis; Diabetic Coma; Diagnosis, Differential; Diplopia; Heparin; Humans; Orbit; Photophobia; Photosensitivity Disorders; Radiography; Sinus Thrombosis, Intracranial; Sinusitis; Vision, Ocular; Warfarin