Branch Retinal Artery Occlusion after Percutaneous Coronary Intervention

We report a case of branch retinal artery occlusion (BRAO) that occurred after percutaneous coronary intervention (PCI). A 59-year-old man with no other previous diseases presented visual acuity deterioration in the left eye 24 hours after PCI. Fundus examination revealed ischemia at the temporal branch of the retinal artery associated with inner layer edema. Prompt treatment was performed with ocular digital massage and paracentesis of the anterior chamber. However, at discharge, the patient had a persistent visual loss with a central scotoma that persisted at 35-day follow-up without improvement of the visual acuity. The patient did not suffer from any other systemic complications. Retinal infarction should be considered a potential complication of PCI. Patients and health care providers should be aware of any visual signs. Permanent visual disability can be prevented by immediate diagnosis and prompt intervention.

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Branch retinal artery occlusion following elective percutaneous coronary intervention

Heart ◽

10.1136/hrt.2010.219451 ◽

2011 ◽

Vol 97 (8) ◽

pp. 640-640 ◽

Cited By ~ 2

Author(s):

J. O'Connor ◽

T. J. Kiernan

Keyword(s):

Percutaneous Coronary Intervention ◽

Coronary Intervention ◽

Retinal Artery Occlusion ◽

Artery Occlusion ◽

Branch Retinal Artery Occlusion ◽

Elective Percutaneous Coronary Intervention ◽

Percutaneous Coronary ◽

Retinal Artery

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Carotid artery intima-media thickness, HDL cholesterol levels, and gender associated with poor visual acuity in patients with branch retinal artery occlusion

PLoS ONE ◽

10.1371/journal.pone.0240977 ◽

2020 ◽

Vol 15 (10) ◽

pp. e0240977

Author(s):

Masayuki Yasuda ◽

Hajime Sato ◽

Kazuki Hashimoto ◽

Urara Osada ◽

Takehiro Hariya ◽

...

Keyword(s):

Visual Acuity ◽

Carotid Artery ◽

Hdl Cholesterol ◽

Intima Media Thickness ◽

Retinal Artery Occlusion ◽

Artery Occlusion ◽

Branch Retinal Artery Occlusion ◽

Cholesterol Levels ◽

Retinal Artery ◽

And Gender

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EMBOLUS-INDUCED BRANCH RETINAL ARTERY OCCLUSION WITH A PRESENTING BEST-CORRECTED VISUAL ACUITY OF <6/12 AND VISUAL FIELD DEFECT

Retinal Cases & Brief Reports ◽

10.1097/icb.0b013e3182852370 ◽

2013 ◽

Vol 7 (3) ◽

pp. 210-216 ◽

Cited By ~ 5

Author(s):

Tsui-Kang Hsu ◽

Shih-Jen Chen ◽

Jianqin Lei ◽

Zhifeng Wu ◽

Chih-Ching Lin ◽

...

Keyword(s):

Visual Acuity ◽

Visual Field ◽

Visual Field Defect ◽

Retinal Artery Occlusion ◽

Artery Occlusion ◽

Branch Retinal Artery Occlusion ◽

Corrected Visual Acuity ◽

Retinal Artery ◽

Field Defect ◽

Best Corrected Visual Acuity

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Dexamethasone Implant (Ozurdex) in a Case with Unilateral Simultaneous Central Retinal Vein and Branch Retinal Artery Occlusion

Case Reports in Ophthalmology ◽

10.1159/000377668 ◽

2015 ◽

Vol 6 (1) ◽

pp. 76-81 ◽

Cited By ~ 3

Author(s):

Taylan Ozturk ◽

Omer Takes ◽

A. Osman Saatci

Keyword(s):

Visual Acuity ◽

Rare Condition ◽

Retinal Artery Occlusion ◽

Artery Occlusion ◽

Branch Retinal Artery Occlusion ◽

Dexamethasone Intravitreal Implant ◽

Severe Visual Loss ◽

Intravitreal Implant ◽

Retinal Artery ◽

Central Retinal Vein

Simultaneous branch retinal artery and vein occlusion is a rare condition that may cause severe visual loss, and its treatment is often unrewarding. Herein, we report a case with simultaneous central retinal vein and branch retinal artery occlusion; it was successfully treated with a single dexamethasone intravitreal implant. The affected eye attained a visual acuity level of 20/25 from the visual acuity of hand motions at presentation with a residual, but relatively diminished, altitudinal scotoma during a follow-up period of 6 months.

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Hyperbaric Oxygen Therapy in Branch Retinal Artery Occlusion in a 15-Year-Old Boy with Methylenetetrahydrofolate Reductase Mutation

Case Reports in Ophthalmological Medicine ◽

10.1155/2015/640247 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4

Author(s):

Ali Riza Cenk Celebi ◽

Sibel Kadayifcilar ◽

Bora Eldem

Keyword(s):

Visual Acuity ◽

Hyperbaric Oxygen ◽

Methylenetetrahydrofolate Reductase ◽

Visual Fields ◽

Retinal Artery Occlusion ◽

Artery Occlusion ◽

Laboratory Evaluation ◽

Branch Retinal Artery Occlusion ◽

Fundus Fluorescein Angiography ◽

Retinal Artery

Purpose.To report the efficacy of hyperbaric oxygen (HBO) therapy in a case of branch retinal artery occlusion (BRAO) in a 15-year-old boy.Methods.We report a 15-year-old boy with sudden loss of vision due to BRAO. Examination included laboratory evaluation for systemic risk factors. Follow-up exams included visual acuity, fundus examination, fundus fluorescein angiography, and visual field testing. HBO therapy was employed for treatment.Results.Medical history was positive for isolated glucocorticoid deficiency. Laboratory evaluation disclosed hyperhomocysteinemia and methylenetetrahydrofolate reductase (MTHFR) mutation. The visual acuity 0.05 at presentation improved to 0.8 after 20 days of HBO therapy. There was no change on visual fields.Conclusion.In this pediatric case, HBO therapy was useful in the treatment of BRAO.

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Multimodal imaging in IRVAN syndrome presenting with Branch Retinal Artery Occlusion

European Journal of Ophthalmology ◽

10.1177/1120672120965492 ◽

2020 ◽

pp. 112067212096549

Author(s):

Sourour Zina ◽

Imen Ksiaa ◽

Chiraz Abdelhedi ◽

Hager Ben Amor ◽

Sonia Attia ◽

...

Keyword(s):

Visual Acuity ◽

Optic Disc ◽

Multimodal Imaging ◽

Fundus Autofluorescence ◽

Retinal Artery Occlusion ◽

Artery Occlusion ◽

Branch Retinal Artery Occlusion ◽

Hard Exudates ◽

Retinal Artery ◽

The Right

Purpose: To describe multimodal imaging ﬁndings in a patient with idiopathic retinal vasculitis, aneurysms, and neuroretinitis (IRVAN) syndrome presenting with branch retinal artery occlusion (BRAO). Case description: A 33-year-old woman presented with acute BRAO in the right eye. A diagnosis of underlying IRVAN syndrome was made based on the presence of arteriolar aneurysms on the optic disc and along major arterioles and faint retinal hard exudates in both eyes. Eight months later, best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. The hard exudates had increased, and there were extensive areas of peripheral retinal capillary nonperfusion without new vessels. Optical coherence tomography (OCT) showed a localized retinal thinning corresponding to the prior BRAO. Fundus autofluorescence showed nodulo-linear periarterial hypoautofluorescence. OCT angiography (OCTA) showed localized ischemic changes, mainly involving the deep capillary plexus, corresponding to the area of resolved BRAO. It also clearly delineated the optic disc aneurysms. The patient received bilateral scatter laser photocoagulation directed to areas of peripheral capillary nonperfusion. Over a 6-month follow-up period, visual acuity remained unchanged, and there was no evidence of disease progression. Conclusion: Multimodal imaging, including fundus autofluorescence, OCT, and OCTA can provide additional valuable information in the evaluation of IRVAN syndrome complicated with BRAO.

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