Perfused Central Retinal Vein Occlusion in the Setting of Intense Exercise and Dehydration
DOI:
https://doi.org/10.62856/djcro.v11.88Keywords:
impending central retinal vein occlusion, exercise, retinopathy, dehydrationAbstract
Purpose: To report a case of exercise-induced impending central retinal vein occlusion (CRVO) in a young, otherwise healthy athlete.
Observations: A young athletic woman presented with acute blurry vision following repeated high-intensity exercise with inadequate hydration. Visual acuity was minimally affected. Fundus examination revealed venous dilation, vascular tortuosity, and scattered intraretinal hemorrhages without macular edema. Systemic evaluation did not identify underlying risk factors. A diagnosis of impending CRVO was made. The patient was managed conservatively with advice to improve hydration and temporarily reduce strenuous physical activity.
Results: Symptoms and retinal findings resolved spontaneously within one month. The patient subsequently resumed her usual exercise routine with adequate hydration and no recurrence.
Conclusions and Importance: Impending CRVO can occur in young, healthy individuals in the setting of dehydration and excessive physical exertion. Recognition of these modifiable risk factors is important, as conservative management may lead to complete recovery without intervention.
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