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The Extreme Significance of Bilateral Embolic Retinal Phenomena That Can be Life Saving

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StatusCompleted
Sponsors
Dr. Shawkat Michel

Keywords

Abstract

This study shows how careful ophthalmic examination of two patients showed signs of simultaneous bilateral retinal emboli. Starting from this point significant, life threatening, underlying reasons were found and treated.

Description

Two patients were found to have signs of simultaneous bilateral retinal emboli. One patient was asymptomatic and routine ophthalmic examination showed bilateral retinal hemorrhages and exudates close to both optic discs. This patient was on anti-coagulant treatment for atrial fibrillation. The finding of bilateral signs of retinal emboli necessitated immediate blood tests and dose adjustments of her medication.

The second case did not have general symptoms other than mild evening chills and her eye examination again was the start point of intensive investigation to find the reason of her bilateral retinal emboli. Ultrasound studies revealed a life threatening reason that was urgently treated.

Dates

Last Verified: 03/31/2019
First Submitted: 03/05/2017
Estimated Enrollment Submitted: 03/07/2017
First Posted: 03/12/2017
Last Update Submitted: 04/01/2019
Last Update Posted: 04/03/2019
Actual Study Start Date: 08/30/2006
Estimated Primary Completion Date: 01/28/2013
Estimated Study Completion Date: 12/30/2018

Condition or disease

Life Threatening Diseases
Embolic Shower

Intervention/treatment

Diagnostic Test: imaging

Phase

-

Eligibility Criteria

Ages Eligible for Study 30 Years To 30 Years
Sexes Eligible for StudyAll
Sampling methodProbability Sample
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- any patient who is found to have sure signs of bilateral retinal emboli.

Exclusion Criteria:

- all other bilateral retinal diseases.

Outcome

Primary Outcome Measures

1. The extreme significance of immediate investigation of cases of bilateral retinal emboli (non-diabetic bilateral posterior pole retinal nerve fiber or pre-retinal hemorrhages). [through study completion, an average of one year]

Patients that are noticed to have signs of bilateral retinal emboli (bilateral retinal nerve fiber layer hemorrhages or bilateral pre-retinal hemorrhages and sometimes bilateral soft exudates) may be asymptomatic or have very mild symptoms. However these patients must be immediately and, if needed, intensively investigated to find the source of these emboli. The extremely important point of this study is these patients usually have life threatening conditions that should be found out and treated in time.

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