Central Retinal Vein Occlusion (CRVO) complicating post-cataract surgery: a case report and multifactorial analysis
Abstract Background Central retinal vein occlusion (CRVO) is a rare but severe complication following cataract surgery. This report highlights a unique case of CRVO secondary to phacoemulsification in a patient with multiple comorbidities. Case presentation A 60-year-old female presented with left-e...
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| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-025-04241-2 |
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| author | Li Xiaodong Liu Xin Qin Xuewei Chen Mei Yao Xianfeng |
| author_facet | Li Xiaodong Liu Xin Qin Xuewei Chen Mei Yao Xianfeng |
| author_sort | Li Xiaodong |
| collection | DOAJ |
| description | Abstract Background Central retinal vein occlusion (CRVO) is a rare but severe complication following cataract surgery. This report highlights a unique case of CRVO secondary to phacoemulsification in a patient with multiple comorbidities. Case presentation A 60-year-old female presented with left-eye blurred vision, photophobia, and elevated intraocular pressure. Preoperative findings included neovascular glaucoma, nuclear cataract, and suspected retinitis pigmentosa. Postoperatively, she developed CRVO with flame-shaped retinal hemorrhages, confirmed via fundoscopy and optical coherence tomography (OCT). Laboratory tests revealed hypertriglyceridemia (3× normal). Conclusion This case underscores the synergistic roles of vascular pathology (neovascular glaucoma), surgical stress (IOP fluctuations), and metabolic dysfunction (hypertriglyceridemia) in CRVO pathogenesis. Perioperative monitoring of blood rheology and targeted interventions (e.g., anti-VEGF therapy) may mitigate risks in high-risk patients. |
| format | Article |
| id | doaj-art-c1c633bd4397449f9bf26102b9c7c58f |
| institution | DOAJ |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-c1c633bd4397449f9bf26102b9c7c58f2025-08-20T03:04:23ZengBMCBMC Ophthalmology1471-24152025-07-012511410.1186/s12886-025-04241-2Central Retinal Vein Occlusion (CRVO) complicating post-cataract surgery: a case report and multifactorial analysisLi Xiaodong0Liu Xin1Qin Xuewei2Chen Mei3Yao Xianfeng4The First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineThe First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineThe First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineThe First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineThe First Affiliated Hospital of Guizhou University of Traditional Chinese MedicineAbstract Background Central retinal vein occlusion (CRVO) is a rare but severe complication following cataract surgery. This report highlights a unique case of CRVO secondary to phacoemulsification in a patient with multiple comorbidities. Case presentation A 60-year-old female presented with left-eye blurred vision, photophobia, and elevated intraocular pressure. Preoperative findings included neovascular glaucoma, nuclear cataract, and suspected retinitis pigmentosa. Postoperatively, she developed CRVO with flame-shaped retinal hemorrhages, confirmed via fundoscopy and optical coherence tomography (OCT). Laboratory tests revealed hypertriglyceridemia (3× normal). Conclusion This case underscores the synergistic roles of vascular pathology (neovascular glaucoma), surgical stress (IOP fluctuations), and metabolic dysfunction (hypertriglyceridemia) in CRVO pathogenesis. Perioperative monitoring of blood rheology and targeted interventions (e.g., anti-VEGF therapy) may mitigate risks in high-risk patients.https://doi.org/10.1186/s12886-025-04241-2Central retinal vein occlusionNeovascular glaucomaCataract surgeryHypertriglyceridemiaRetinitis pigmentosaPhacoemulsification |
| spellingShingle | Li Xiaodong Liu Xin Qin Xuewei Chen Mei Yao Xianfeng Central Retinal Vein Occlusion (CRVO) complicating post-cataract surgery: a case report and multifactorial analysis BMC Ophthalmology Central retinal vein occlusion Neovascular glaucoma Cataract surgery Hypertriglyceridemia Retinitis pigmentosa Phacoemulsification |
| title | Central Retinal Vein Occlusion (CRVO) complicating post-cataract surgery: a case report and multifactorial analysis |
| title_full | Central Retinal Vein Occlusion (CRVO) complicating post-cataract surgery: a case report and multifactorial analysis |
| title_fullStr | Central Retinal Vein Occlusion (CRVO) complicating post-cataract surgery: a case report and multifactorial analysis |
| title_full_unstemmed | Central Retinal Vein Occlusion (CRVO) complicating post-cataract surgery: a case report and multifactorial analysis |
| title_short | Central Retinal Vein Occlusion (CRVO) complicating post-cataract surgery: a case report and multifactorial analysis |
| title_sort | central retinal vein occlusion crvo complicating post cataract surgery a case report and multifactorial analysis |
| topic | Central retinal vein occlusion Neovascular glaucoma Cataract surgery Hypertriglyceridemia Retinitis pigmentosa Phacoemulsification |
| url | https://doi.org/10.1186/s12886-025-04241-2 |
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