Central retinal vein occlusion associated with creatine supplementation and dehydration

Purpose: Central retinal vein occlusions (CRVO) are relatively common; however, they are rare in young, otherwise healthy individuals. We report a case of CRVO associated with creatine supplementation and dehydration in a 25-year-old man. Observations: A 25-year-old man developed a non-ischemic CRVO...

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Main Authors: Omar Moussa, Royce W.S. Chen
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993621001377
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author Omar Moussa
Royce W.S. Chen
author_facet Omar Moussa
Royce W.S. Chen
author_sort Omar Moussa
collection DOAJ
description Purpose: Central retinal vein occlusions (CRVO) are relatively common; however, they are rare in young, otherwise healthy individuals. We report a case of CRVO associated with creatine supplementation and dehydration in a 25-year-old man. Observations: A 25-year-old man developed a non-ischemic CRVO in the right eye. Comprehensive thrombophilia screening was unrevealing. Further questioning revealed that the patient was an avid weightlifter and had been taking creatine as a nutrition supplement daily for the past 5 years at a higher than recommended dose. At the time of CRVO onset, he was also restricting water intake in order to lose weight. Conclusions and Importance: We conclude that the CRVO occurred in the context of creatine use and water restriction, leading to increased risk for thrombosis. Given the increased popularity for nutritional supplements to enhance fitness, it is important for individuals to recognize the association between CRVO, creatine supplementation, and hydration status.
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spelling doaj.art-790a8de014314d3fbca9c093eaf824662022-12-21T20:01:13ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-09-0123101128Central retinal vein occlusion associated with creatine supplementation and dehydrationOmar Moussa0Royce W.S. Chen1Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, NY, USACorresponding author. Edward S. Harkness Eye Institute Columbia University Irving Medical Center 635 W. 165th St., New York, NY, 10032, USA.; Department of Ophthalmology, Edward S. Harkness Eye Institute, Columbia University Irving Medical Center, New York-Presbyterian Hospital, New York, NY, USAPurpose: Central retinal vein occlusions (CRVO) are relatively common; however, they are rare in young, otherwise healthy individuals. We report a case of CRVO associated with creatine supplementation and dehydration in a 25-year-old man. Observations: A 25-year-old man developed a non-ischemic CRVO in the right eye. Comprehensive thrombophilia screening was unrevealing. Further questioning revealed that the patient was an avid weightlifter and had been taking creatine as a nutrition supplement daily for the past 5 years at a higher than recommended dose. At the time of CRVO onset, he was also restricting water intake in order to lose weight. Conclusions and Importance: We conclude that the CRVO occurred in the context of creatine use and water restriction, leading to increased risk for thrombosis. Given the increased popularity for nutritional supplements to enhance fitness, it is important for individuals to recognize the association between CRVO, creatine supplementation, and hydration status.http://www.sciencedirect.com/science/article/pii/S2451993621001377Central retinal vein occlusionCreatine supplementationDehydration
spellingShingle Omar Moussa
Royce W.S. Chen
Central retinal vein occlusion associated with creatine supplementation and dehydration
American Journal of Ophthalmology Case Reports
Central retinal vein occlusion
Creatine supplementation
Dehydration
title Central retinal vein occlusion associated with creatine supplementation and dehydration
title_full Central retinal vein occlusion associated with creatine supplementation and dehydration
title_fullStr Central retinal vein occlusion associated with creatine supplementation and dehydration
title_full_unstemmed Central retinal vein occlusion associated with creatine supplementation and dehydration
title_short Central retinal vein occlusion associated with creatine supplementation and dehydration
title_sort central retinal vein occlusion associated with creatine supplementation and dehydration
topic Central retinal vein occlusion
Creatine supplementation
Dehydration
url http://www.sciencedirect.com/science/article/pii/S2451993621001377
work_keys_str_mv AT omarmoussa centralretinalveinocclusionassociatedwithcreatinesupplementationanddehydration
AT roycewschen centralretinalveinocclusionassociatedwithcreatinesupplementationanddehydration