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This study shows how careful ophthalmic examination of two patients showed signs of simultaneous bilateral retinal emboli. Starting from this point significant, life threatening, underlying reasons were found and treated.
Two patients were found to have signs of simultaneous bilateral retinal emboli. One patient was asymptomatic and routine ophthalmic examination showed bilateral retinal hemorrhages and exudates close to both optic discs. This patient was on anti-coagulant treatment for atrial fibrillation. The finding of bilateral signs of retinal emboli necessitated immediate blood tests and dose adjustments of her medication.
The second case did not have general symptoms other than mild evening chills and her eye examination again was the start point of intensive investigation to find the reason of her bilateral retinal emboli. Ultrasound studies revealed a life threatening reason that was urgently treated.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| imaging | Diagnostic Test | imaging before and after treatment |
|
| Measure | Description | Time Frame |
|---|---|---|
| The extreme significance of immediate investigation of cases of bilateral retinal emboli (non-diabetic bilateral posterior pole retinal nerve fiber or pre-retinal hemorrhages). | Patients that are noticed to have signs of bilateral retinal emboli (bilateral retinal nerve fiber layer hemorrhages or bilateral pre-retinal hemorrhages and sometimes bilateral soft exudates) may be asymptomatic or have very mild symptoms. However these patients must be immediately and, if needed, intensively investigated to find the source of these emboli. The extremely important point of this study is these patients usually have life threatening conditions that should be found out and treated in time. | through study completion, an average of one year |
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Inclusion Criteria:
Exclusion Criteria:
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any patient in which signs of bilateral retinal emboli are seen and documented (imaged).
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| Name | Affiliation | Role |
|---|---|---|
| shawkat s. Michel, MD, FRCS Ed | Dr. S.S. Michel Clinic, 214 MHC, 156 street and 87 Ave, Edmonton, AB, Canada | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dr. S.S. Michel Clinic | Edmonton | Alberta | T5R5W9 | Canada |
Color photographs of patients with bilateral retinal emboli and relevant medical conditions will be shared.
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Color photographs are available from the time of publishing and until the end of 2018.
Ophthalmologists interested may request the color photos by mail or email. Within four weeks from receiving request color photos will be sent
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| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| ID | Term |
|---|---|
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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