scholarly journals Optical Coherence Tomography Angiography of Nonarteritic Cilioretinal Artery Occlusion Alone

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Toyo Ikebukuro ◽  
Tsutomu Igarashi ◽  
Shuhei Kameya ◽  
Takeshi Arima ◽  
Tomoyuki Kunishige ◽  
...  

Cilioretinal artery occlusion (CLRAO) is a rare disease. Here, we report the case of a 70-year-old man with nonarteritic cilioretinal artery occlusion alone. The patient was allergic to fluorescein. Therefore, we followed the retinal circulation with optical coherence tomography angiography (OCTA). OCTA at 40 days postonset showed partial improvement in the retinal circulation.

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Anadi Khatri ◽  
Satish Timalsena ◽  
Sudhir Gautam ◽  
Muna Kharel

Varicella zoster is known to be associated with vaso-occlusive pathologies, vasculitis, or optic neuritis, leading to profound visual loss. We report a case where a 13-year-old boy who initially presented to us with on and off diminution of vision in his right eye since 3 days and had normal ocular and OCT angiography findings followed up in 5 days with sudden painless diminution of vision in the same eye since one day this time revealing a pale macular region with rest of the retina being normal. Repeated OCT angiography showed loss of the capillary network around the perifoveal region suggesting cilioretinal artery occlusion.


2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Mahmut Kaya ◽  
Taylan Ozturk ◽  
Ziya Ayhan ◽  
Nilufer Kocak ◽  
Suleyman Kaynak

We report retinal structural changes of a 37-year-old man diagnosed with the concomitant occlusion of cilioretinal artery and central retinal vein. Comprehensive ophthalmological evaluation was performed, followed by spectral-domain optical coherence tomography (SD-OCT, Heidelberg), optical coherence tomography angiography (OCT angiography, Optovue Inc., Fremont, California, USA), fluorescein angiography, and color fundus photography. The use of OCT angiography and en face SD-OCT imaging as an adjunct test to map out correlative paracentral scotomas during follow-up allowed us to evaluate cilioretinal artery occlusion in the best way due to obtaining satisfactory images of the normal retinal vascular networks and areas of nonperfusion and congestion at various retinal levels.


Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 645
Author(s):  
Felix Rommel ◽  
Sabine Lüken ◽  
Michelle Prasuhn ◽  
Maximilian Kurz ◽  
Vinodh Kakkassery ◽  
...  

Background and objectives: Ocular massage (OM) is used as a treatment option for acute retinal artery occlusion, under the assumption that it induces vessel dilatation and enhances perfusion. Since evidence of ocular perfusion alteration due to OM is lacking, we investigate the impact of OM on the hemodynamics of the posterior pole in healthy eyes in a noninvasive fashion by using optical coherence tomography angiography (OCTA). Materials and Methods: A prospective study was conducted on healthy volunteers, each of whom underwent measurements of intraocular pressure (IOP), central macular thickness (CMT), subfoveal choroidal thickness (SFCT), radial peripapillary capillary perfusion (RPCP), superficial capillary plexus perfusion (SCPP), deep capillary plexus perfusion (DCPP), choriocapillaris perfusion (CCP), Sattler’s layer perfusion (SLP) and Haller’s layer perfusion (HLP) before and after OM. OM was performed for 2 min, consisting of 10-s turns of compression and decompression of the globe. Results: A total of 21 eyes from 21 participants (median age 29) were included. After OM, IOP significantly declined (p < 0.001), while SFCT (p < 0.005), SCPP (p < 0.001), DCPP (p = 0.004) and CCP (p = 0.008) significantly increased. CMT, RPCP, SLP and HLP did not show any significant alteration due to OM. Changes in SCPP correlated positively with changes in CCP and vice versa. Conclusions: OCTA-based analysis in healthy adults following OM demonstrated a significant increase of retinal perfusion values, assumed to be due to failure of autoregulatory mechanisms. These findings may indicate a positive effect of OM as a treatment option for patients with acute retinal artery occlusion.


2019 ◽  
Vol 3 (4) ◽  
pp. 260-262
Author(s):  
Pimpiroon Ploysangam ◽  
Faruk Koreishi ◽  
Gareth M.C. Lema

Purpose: To report a case of ophthalmic artery occlusion after injection of heroin into the forehead. Methods: Retrospective case report. Results: A 27-year-old patient with a history of intravenous heroin abuse presented with a left ophthalmic artery occlusion after attempting to inject heroin into a vein in her forehead. Exam was significant for diffuse retinal edema, disc edema, disc hemorrhage, and diffuse retinal hemorrhages. Findings were also noted in the widefield image, optical coherence tomography, and optical coherence tomography angiography of the retina. Conclusions: This patient suffered from a severe form of talc retinopathy resulting in an ophthalmic artery occlusion after injecting heroin into her forehead. To our knowledge, this is the first instance of combined ophthalmic artery occlusion and talc retinopathy resulting from intentional injection into a superficial facial vein.


2019 ◽  
Vol 24 ◽  
pp. e921 ◽  
Author(s):  
Eleni Papakonstantinou ◽  
Flora Bacopoulou ◽  
Dimitrios Brouzas ◽  
Vasileios Megalooikonomou ◽  
Domenica D'Elia ◽  
...  

CADASIL syndrome is a rare disease that belongs to a group of disorders called leukodystrophies. It is well established that NOTCH3 gene on chromosome 19 is primarily responsible for the development of the CADASIL syndrome. Herein, an attempt is made to shed light on the actual molecular mechanism underlying CADASIL syndrome, through insights extracted from comprehensive evolutionary studies and in silico modelling on Notch 3 protein. In particular, we suggest the use of optical coherence tomography angiography for the detection of early signs of small vessel diseases, which are the major precursors to a repertoire of neurodegenerative conditions, including CADASIL.


Ophthalmology ◽  
2017 ◽  
Vol 124 (11) ◽  
pp. 1589-1599 ◽  
Author(s):  
Hana L. Takusagawa ◽  
Liang Liu ◽  
Kelly N. Ma ◽  
Yali Jia ◽  
Simon S. Gao ◽  
...  

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