Mrs. XXXXXXX Is Having Recent History Loss Of Vision In

Posted on Tue, 25 Aug 2020

Question: Mrs. XXXXXXX is having recent history loss of vision in Rt.Eye . she was diagnosed with Central retinal vein occlusion & consulted opthalmogist , treatment done but still she is not recovering her vision. she is also know case of Hypertension, diabetes & MVP for which we have been advised to consult cardiologist. Cardiologist has change treatment & have added Tab.Debigatran. he has also shared risk of bleeding with treatment. we request you to guide on :

is this Debigatran 110 mg useful for treatment ?
are complication of treatment severe ?
is there any other alternative ?
what could be cause of this vision loss ?
will she further require any heart surgery ?
what are chances of recovery in this case ?

Answered by Dr. Bhanu Partap (2 hours later)

Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

After reviewing the reports of the patient and the medical history provided I would like to answer the questions as follow

1. she probably has developed Atrial fibrillation (ecg not attached) which has caused a dilated LA, yes dabigartan is useful and it required to prevent formation of blood clots in dilated LA.

2. Yes there are chances of bleeding with use of any blood thinners like dabigatran.

3. As of now optimal medical treatment is the treatment of choice.

4. If her LV function decrease then probably she might need surgery.

5. It’s difficult to comment without properly examination of the patient. That her treating doctor can tell better.

Regards

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Above answer was peer-reviewed by : Dr. Kampana