PURPOSE/METHODS: Central retinal artery occlusion occurs infrequently
in children. We treated a child with central retinal artery occlusion
before a systemic disease was discovered. RESULTS/CONCLUSION: Vision i
mproved after paracentesis and anticoagulation. Systemic T-cell lympho
ma was subsequently diagnosed. In contrast to older patients in whom a
theromatous disease is a common etiologic factor, children frequently
have more obscure systemic or ocular associations. Lymphoma should be
considered as a possible systemic association in cases of central reti
nal artery occlusion, especially in younger patients who are less at r
isk for the more common causes.