The Extreme Significance of Bilateral Embolic Retinal Phenomena That Can be Life Saving

Life Threatening Diseases Clinical Trial

Official title:

Bilateral Retinal Embolic Phenomena Always Necessitates Immediate and Intensive Investigation. Careful, Documented, Ophthalmic Examination is All we Require to Initiate Life Saving Investigations.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03078387
• Other study ID #: Bilateral retinal emboli
• Status: Completed
• Start date: August 31, 2006
• Est. completion date: December 31, 2018

Study information

• Verified date: April 2019
• Source: Dr. S.S. Michel Clinic
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2
• Est. completion date: December 31, 2018
• Est. primary completion date: January 29, 2013
• Accepts healthy volunteers: No
• Gender: All
• Age group: 30 Years to 80 Years

Eligibility

Inclusion Criteria:

• any patient who is found to have sure signs of bilateral retinal emboli.

Exclusion Criteria:

• all other bilateral retinal diseases.

Related Conditions & MeSH terms

• Embolic Shower
• Life Threatening Diseases

Intervention

Diagnostic Test:
• imaging
imaging before and after treatment

Locations

Country	Name	City	State
Canada	Dr. S.S. Michel Clinic	Edmonton	Alberta

Sponsors (1)

Lead Sponsor	Collaborator
Dr. Shawkat Michel

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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