Bilateral Central Retinal Vein Occlusion in Eisenmenger Syndrome

Am J Ophthalmol. 2001 Aug;132(2):268-9. doi: 10.1016/s0002-9394(01)00927-8.


Purpose: To report a case of bilateral central retinal vein occlusion in a patient with Eisenmenger syndrome.

Methods: Case report. A 60-year-old woman with Eisenmenger syndrome secondary to a congenital ventricular septal defect presented with a 2-week history of decreased vision in both eyes.

Results: Ophthalmic examination revealed bilateral central retinal vein occlusion. Laboratory findings included hematocrit of 50.3% and pO(2) of 52 mm Hg while on O(2) 5 L/min per nasal cannula, despite having undergone phlebotomy 2 weeks earlier.

Conclusion: Chronic hypoxia caused by Eisenmenger syndrome may result in polycythemia with resultant hyperviscosity and bilateral central retinal vein occlusion.

Publication types

  • Case Reports

MeSH terms

  • Eisenmenger Complex / complications*
  • Female
  • Heart Septal Defects / complications
  • Hematocrit
  • Humans
  • Middle Aged
  • Oxygen
  • Phlebotomy
  • Retinal Vein Occlusion / diagnosis
  • Retinal Vein Occlusion / etiology*
  • Visual Acuity


  • Oxygen