A Case of Fabry Disease with Central Retinal Artery Occlusion

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We report a case of Fabry disease diagnosed after recurrent cerebral infarction in a patient with central retinal artery occlusion (CRAO). A 23-year-old man presented with vision loss in his right eye (20/2000), showing CRAO. There was no identified cause for the loss of vision; however, corneal verticillata was detected in both eyes on the recurrence of the cerebral infarction. The α-galactosidase activity in leukocytes was significantly reduced to <0.3 nmol/mg of protein/hour, leading to a definitive diagnosis of Fabry disease. Enzyme replacement therapy was commenced concomitant to rehabilitation. It is necessary to identify Fabry disease as a cause of CRAO in young individuals, and the detection of cornea verticillata, used frequently as an ocular finding, is helpful.

Original languageEnglish
Pages (from-to)584-588
Number of pages5
JournalCase Reports in Ophthalmology
Issue number2
Publication statusPublished - 15-08-2022

All Science Journal Classification (ASJC) codes

  • Ophthalmology


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