Central retinal artery occlusion associated with cocaine

Cover Page

Cite item

Full Text

Abstract

This article contains a case of central retinal artery occlusion in a young man associated with cocaine abuse. Survey data, dynamic monitoring of the patient are presented in the article. Possible mechanisms of vascular pathology associated with stimulant drugs are described.

About the authors

Yulduz Sh. Nizametdinova

Saint Petersburg State Hospital No. 2

Author for correspondence.
Email: yulduzik55@gmail.com

Ophthalmic Surgeon. Microsurgery Department No. 3

Russian Federation, Saint Petersburg

Yanina S. Konenkova

Saint Petersburg State Hospital No. 2

Email: krocon@mail.ru

Head of Department, Microsurgery Department No. 4

Russian Federation, Saint Petersburg

Vadim P. Nikolaenko

Saint Petersburg State Hospital No. 2; Saint Petersburg State University

Email: dr.nikolaenko@mail.ru

MD, PhD, Professor, Otorhinolaryngology and Ophthalmology Chair of Medical Faculty; Chief, Ophthalmology Department

Russian Federation, Saint Petersburg

References

  1. Тульцева С.Н., Астахов Ю.С. Окклюзии вен сетчатки. – СПб.: Н-Л, 2010. – С. 7-39. [Tul’tseva SN, Astakhov YuS. Retinal vein occlusion. Saint Petersburg: N-L; 2010. Р. 7-39. (In Russ.)]
  2. Ascaso FJ, Cruz N, Del Buey MA, Cristóbal JA. An unusual case of cocaine-induced maculopathy. Eur J Ophthalmol. 2009;19(5): 880-882. https://doi.org/10.1177/112067210901900533.
  3. Atlee WE, Jr. Talc and cornstarch emboli in eyes of drug abusers. JAMA. 1972;219(1):49-51. https://doi.org/10.1001/jama.1972. 03190270027007.
  4. Ayala C, Watkins L, Deschler DG. Tension orbital pneumocele secondary to nasal obstruction from cocaine abuse: a case report. Otolaryngol Head Neck Surg. 2002;127(6):572-574. https://doi.org/10.1067/mhn.2002.129810.
  5. Devenyi P, Schneiderman JF, Devenyi RG, Lawby L. Cocaine-induced central retinal artery occlusion. CMAJ. 1988;138(2): 129-130.
  6. Fandino J, Sherman JD, Zuccarello M, Rapoport RM. Cocaine-induced endothelin-1-dependent spasm in rabbit basilar artery in vivo. J Cardiovasc Pharmacol. 2003;41(2):158-161. https://doi.org/10.1097/00005344-200302000-00002.
  7. Firth AY. Editorial: ocular effects of criminal drug use. Can J Ophthalmol. 2006;41(2):140-146. https://doi.org/10.1139/i06-902.
  8. Flammer J, Pache M, Resink T. Vasospasm, its role in the pathogenesis of diseases with particular reference to the eye. Prog Retin Eye Res. 2001;20(3):319-349. https://doi.org/10.1016/s1350-9462(00)00028-8.
  9. Greven CM, Slusher MM, Weaver RG. Retinal arterial occlusions in young adults. Am J Ophthalmol. 1995;120(6):776-783. https://doi.org/10.1016/s0002-9394(14)72731-x.
  10. Hazin R, Cadet JL, Kahook MY, Saed D. Ocular manifestations of crystal methamphetamine use. Neurotox Res. 2009;15(2): 187-191. https://doi.org/10.1007/s12640-009-9019-z.
  11. Kannan B, Balaji V, Kummararaj S, Govindarajan K. Cilioretinal artery occlusion following intranasal cocaine insufflations. Indian J Ophthalmol. 2011;59(5):388-389. https://doi.org/10.4103/0301-4738.83619.
  12. Kim RW, Juzych MS, Eliott D. Ocular manifestations of injection drug use. Infect Dis Clin North Am. 2002;16(3):607-622. https://doi.org/10.1016/s0891-5520(02)00013-2.
  13. Leibovitch I, Khoramian D, Goldberg RA. Severe destructive sinusitis and orbital apex syndrome as a complication of intranasal cocaine abuse. Am J Emerg Med. 2006;24(4):499-501. https://doi.org/10.1016/j.ajem.2005.11.019.
  14. Mantelli F, Lambiase A, Sacchetti M, et al. Cocaine snorting may induce ocular surface damage through corneal sensitivity impairment. Graefes Arch Clin Exp Ophthalmol. 2015;253(5):765-772. https://doi.org/10.1007/s00417-015-2938-x.
  15. Michaelides M, Larkin G. Cocaine-associated central retinal artery occlusion in a young man. Eye (Lond). 2002;16(6):790-792. https://doi.org/10.1038/sj.eye.6700174.
  16. Peragallo J, Biousse V, Newman NJ. Ocular manifestations of drug and alcohol abuse. Curr Opin Ophthalmol. 2013;24(6):566-573. https://doi.org/10.1097/ICU.0b013e3283654db2.
  17. Rahman W, Thomas S, Wiselka M, Bibby K. Cocaine-induced chorioretinal infarction. Br J Ophthalmol. 2008;92(1):150-151. https://doi.org/10.1136/bjo.2007.119248.
  18. Sharma P, Ramirez-Florez S. Consumption of cannabis and cocaine: correct mix for arterial occlusions. BMJ Case Rep. 2009;2009. https://doi.org/10.1136/bcr.09.2008.0956.
  19. Shen CC, Silver AL, O’Donnell TJ, et al. Optic neuropathy caused by naso-orbital mass in chronic intranasal cocaine abuse. J Neuroophthalmol. 2009;29(1):50-53. https://doi.org/10.1097/WNO.0b013e3181989adb.
  20. Van Stavern GP, Gorman M. Orbital infarction after cocaine use. Neurology. 2002;59(4):642-643. https://doi.org/10.1212/wnl.59.4.642.
  21. Zoumalan CI, Marmor MF. Revisiting talc retinopathy. Arch Ophthalmol. 2007;125(7):988. https://doi.org/10.1001/archopht. 125.7.988.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download
2. Fig. 1. Optical coherence tomography angiography of both eyes showing ischemic retinal edema in the right eye; а – right eye, b – left eye

Download (491KB)
Indexing metadata
3. Fig. 2. Optical coherent tomography of the right eye in dynamics: a – on admission to the hospital: an increase of the retinal thickness and decrease in its transparency, a violation of the differentiation of layers; b, c – 2 weeks and a month after treatment: showing a decrease in the thickness of the retinal macula and an improvement in the differentiation and transparency of the inner layers of the retina

Download (292KB)
Indexing metadata

Copyright (c) 2020 Nizametdinova Y.S., Konenkova Y.S., Nikolaenko V.P.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies