Red eyes first sign of the sickle cell disease

  • Rodrigo Martín Torres | romator7@hotmail.com Centro De Ojos Dr. Lódolo, Entre Rios, Paraná, Argentina.
  • Pablo Gabriel Lódolo Centro De Ojos Dr. Lódolo, Entre Rios, Paraná, Argentina.

Abstract

A patient with red eyes and ocular decongestants drops (tetrahidrozolyne 0.05%) use history, was observed by an optometrist and referred to an ophthalmic consult. The redness of their eyes was secondary to conjunctival vessel micro-hemorraghe (petechiaes). After a complete ophthalmology and hematologist exploration a Cell Sickle Disease was diagnosed as the cause of the vascular disorder. An hematologist treat it and the ocular redness was resolved. This case emphasizes the problem about self-medication and remark the importance of the optometrist working together with the ophthalmologist to prevent ocular complains as well as systemic disease.
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Author Biographies

Rodrigo Martín Torres, Centro De Ojos Dr. Lódolo, Entre Rios, Paraná
Ocular Surface & Immunoloy
Pablo Gabriel Lódolo, Centro De Ojos Dr. Lódolo, Entre Rios, Paraná
Medial Director

References

Leibowitz HM. The red eye. N Engl J Med 2000;343:345-51.

Tappeiner C, Sarra GM, Abegg M. Abuse of vasoconstrictive eyedrops mimicking an ocular pemphigoid. Eur J Ophthalmol 2009;19:129-32.

Xuan B, Chiou GC. Efficacy of oxymetazoline eye drops in non-infectious conjunctivitis, the most common cause of acute red eyes. J Ocul Pharmacol Ther 1997;13:363-7.

Spiller H, Griffith J. Prolonged cardiovascular effects after unintentional ingestion of tetraydrozoline. Clin Toxicol (Phila) 2008;46:171-2.

Ramey JT, Bailen E, Lochey RF. Rhinitis medicamentosa. J Investig Allergol Clin Immunol 2006;16:148-55.

Rahimi Z, Parsian A. Sickle cell disease and venous thromboembolism. Mediterr J Hematol Infect Dis 2011;3:e2011024.

Penman AD, Talbot JF, Chuang EL, et al. New classification of peripheral retinal vascular changes in sickle cell disease. Br J Ophthalmol 1994;78:681-9.

Torres AF, Eberle SE, Sciuccati G, Bonduel M. Effect of hydroxyurea on hemoglobin S. Medicina (B Aires) 2003;63:140-2.

Published
2011-10-13
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Section
Case Reports
Supporting Agencies
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Keywords:
1- Leibowitz HM. The red eye. N Engl J Med 2000, 343, 345-51. 2- Tappeiner C, Sarra GM, Abegg M. Abuse of vasoconstrictive eyedrops mimicking an ocular pemphigoid. Eur J Ophthalmol 2009, 19, 129-32. 3- Xuan B, Chiou GC. Efficacy of oxymetazoline eye drops in
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How to Cite
Torres, R., & Lódolo, P. (2011). Red eyes first sign of the sickle cell disease. Optometry Reports, 1(1), e1. https://doi.org/10.4081/optometry.2011.e1