Tractional Retinal Detachment Related to Hemoglobin C Trait Retinopathy: A Case Report

Hemoglobin C (HbC) disease is an uncommon disease that is generally considered benign, causing only occasionally painless hematuria, osteomyelitis, and dental abnormalities. Ocular manifestations have rarely been described in these patients. Here we report a novel ophthalmological manifestation of t...

Full description

Bibliographic Details
Main Authors: Xavier Garrell-Salat, Claudia Garcia-Arumi, Yann Bertolani, Sandra Banderas García, Paul Buck, Jose Garcia-Arumi
Format: Article
Language:English
Published: Galenos Yayinevi 2023-10-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/tractional-retinal-detachment-related-to-hemoglobi/62824
Description
Summary:Hemoglobin C (HbC) disease is an uncommon disease that is generally considered benign, causing only occasionally painless hematuria, osteomyelitis, and dental abnormalities. Ocular manifestations have rarely been described in these patients. Here we report a novel ophthalmological manifestation of the disease. A 20-year-old woman presented with progressive visual loss in her right eye due to tractional retinal detachment. The left eye was apparently normal, but wide-field fluorescence angiography showed mild peripheral ischemia with multiple vascular abnormalities. Vitrectomy was performed and the systemic workup revealed the presence of hemoglobinopathy C in heterozygous form. HbC disease can be sight-threating due to retinal proliferation, similar to sickle cell retinopathy. Patients affected with this disease should undergo regular surveillance. Ultra-wide angiography is a helpful examination to detect peripheral ischemia in the earlier stages.
ISSN:1300-0659
2147-2661