[Hemicentral retinal XXXX due to oral contraceptives].

@entity1 @entity154 @entity227 @entity2194 @entity101 @entity6 @entity2082 @entity1003 @entity49 @entity1805 @entity18831 @entity1031 @entity1829 @entity432 @entity717
BACKGROUND: Low-dose oral contraceptives can still cause @entity1031 with serious neurologic or @entity717 . @entity1 : A  22-year-old @entity1 having used oral contraceptives for several months noticed @entity227 . One tablet of her contraceptive contained @entity2082 (0.03  mg) and @entity18831 (2  mg). RESULT: Because of the @entity2194 , the @entity1 could only read with her right eye. She presented complete left inferior @entity1805 , indicating a hemicentral retinal @entity432 . Visual acuity in both eyes was 20  /  20. The left fundus revealed a distinct @entity1829 in the area superior to the optic disc and macula due to vascular disturbances of the superior temporal superior and superior nasal retinal arteries. The right eye was normal. Fluorescein angiography revealed recanalized arteries in the superior retinal area with conspiciously early dye filling as a paradoxical sign. Doppler sonography of the neck and orbital arteries and transesophageal echocardiography (TEE) findings were inconspicious. However, blood examination revealed an elevated thrombin-antithrombin complex and reduced free protein S. CONCLUSION: @entity1003 can be a side effect of oral contraceptives. Even nowadays, @entity1 taking contraceptives risk the danger of @entity432 especially if the @entity1 suffers from @entity101 , @entity6 , have @entity154 , or if she is a chronic smoker. Before treatment with oral contraceptives commences, a thorough medical examination is necessary. If the family history reveals prominent cardiovascular risk factors, testing for @entity49 is recommended. Even nowadays, @entity1 should be warned of the risk of @entity227 as a potential side-effect associated with oral contraceptives.
