Thrombophilic risk factors are uncommon in young patients with retinal vein occlusion

Retina. 2015 Apr;35(4):715-9. doi: 10.1097/IAE.0000000000000366.

Abstract

Purpose: To study the thrombotic factors, namely deficiencies of plasma proteins C, S, and antithrombin, factor V Leiden mutation, and positivity for antiphospholipid antibodies in young patients with retinal vein occlusion.

Methods: The thrombophilia parameters listed above were analyzed from the laboratory records of 50 patients with the clinical diagnosis of retinal vein occlusion, aged less than 50 years.

Results: A single prothrombotic factor was seen in 2 (4%) cases. The highest positivity was for the antiphospholipid antibodies (lupus anticoagulant in 6%, anticardiolipin antibodies in 2%, and anti-β 2 glycoprotein 1 in 10% cases). Other than one case where antiphospholipid syndrome was confirmed, these were transient. One patient had antithrombin deficiency. Protein C and protein S deficiency and factor V Leiden mutation were not seen in this group.

Conclusion: Our data suggest that these thrombophilia risk factors are not commonly associated with retinal vein occlusion, and there is a need for studies on other factors that contribute to the development of this condition.

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Antiphospholipid / blood
  • Biomarkers / blood
  • Child
  • DNA Mutational Analysis
  • Factor V / genetics
  • Female
  • Humans
  • Male
  • Middle Aged
  • Polymerase Chain Reaction
  • Protein C / metabolism
  • Protein S / metabolism
  • Retinal Vein Occlusion / blood
  • Retinal Vein Occlusion / etiology*
  • Risk Factors
  • Thrombophilia / blood
  • Thrombophilia / complications*

Substances

  • Antibodies, Antiphospholipid
  • Biomarkers
  • Protein C
  • Protein S
  • factor V Leiden
  • Factor V

Supplementary concepts

  • Thrombophilia, hereditary