Dr.Vipin Rana

Dr.Meenu Dangi, Dr.Ashok Kumar

Abstract

Purpose: To present various retinal manifestations of young Indian armed forces personnel who were posted at high altitude (HA) for a duration of at least 6 months and to show the association of Hyperhomocyteinemia) HHcy) with these presentations.Methods: OCT, FFA, CT angiography, hematological work up, lipid profile, echo & carotid doppler.
Results: Total of 16 patients with ages ranging from 25-45 years were there. All patients were male. CRVO was seen in six patients (6 eyes), and four patients (04 eyes) had BRVO, branch retinal artery occlusion (BRAO) was seen in one patient (01 eye), CRAO was noticed among four patients (4 eyes), ocular ischaemic syndrome was noted in one patient (1 eye). Hb was raised in all patients, whereas serum homocysteinemia was raised in 04 CRVO patients, 03 BRVO patients, 02 CRAO patients and 01 OIS patient, 01 BRAO patient. CT angio showed de novo thrombosis at the level on internal carotid artery in contrast to carotid bulb seen in old age.