Ophthalmic Artery Occlusion From Injection of Heroin Into the Forehead

2019 ◽  
Vol 3 (4) ◽  
pp. 260-262
Author(s):  
Pimpiroon Ploysangam ◽  
Faruk Koreishi ◽  
Gareth M.C. Lema
Keyword(s):  
Optical Coherence Tomography ◽  
Ophthalmic Artery ◽  
Optical Coherence Tomography Angiography ◽  
Artery Occlusion ◽  
Severe Form ◽  
Optical Coherence ◽  
Retrospective Case ◽  
Retinal Hemorrhages ◽  
Disc Hemorrhage ◽  
History Of

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.

scholarly journals Evaluating Retinal and Choroidal Perfusion Changes After Ocular Massage of Healthy Eyes Using Optical Coherence Tomography Angiography

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 645
Author(s):  
Felix Rommel ◽  
Sabine Lüken ◽  
Michelle Prasuhn ◽  
Maximilian Kurz ◽  
Vinodh Kakkassery ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Treatment Option ◽  
Optical Coherence Tomography Angiography ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Optical Coherence ◽  
Capillary Plexus ◽  
Retinal Artery ◽  
The Impact ◽  
Healthy Eyes

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.

scholarly journals Case Report: A Case of Perifoveal Exudative Vascular Anomalous Complex With a Good Prognosis

2021 ◽  
Vol 8 ◽  
Author(s):  
Min Fu ◽  
Pan Hu ◽  
Gang Zhang ◽  
Ludonghan Huang ◽  
Huan Xu ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Case Report ◽  
Optical Coherence Tomography Angiography ◽  
Case Reports ◽  
Good Prognosis ◽  
Optical Coherence ◽  
Irreversible Damage ◽  
Micropulse Laser ◽  
History Of

Significance: Perifoveal exudative vascular anomalous complex (PEVAC) is a unique clinical lesion. It manifests as isolated lesions and is easily misdiagnosed. Thus far, few PEVAC case reports have been published. PEVAC is typically inconsistent with other reported macular lesions.Purpose: To report our 24-month follow-up experience on the treatment of PEVAC with a micropulse laser (MPL).Case Report: A 56-year-old Chinese woman with no history of other diseases complained of decreased vision in her left eye that had persisted for more than 1 year. Comprehensive ophthalmic examinations were performed, including a vision test, slit lamp fundus exam, optical coherence tomography (OCT), optical coherence tomography angiography (OCT-A), fluorescein fundus angiography (FFA) and indocyanine green angiography (ICGA). Intravitreal injection of ranibizumab was ineffective, and bleeding, exudation and visual acuity were not improved. After two rounds of micropulse laser (MPL) treatment, the patient was followed up, and the prognosis was good.Conclusion: PEVAC is very rare, and early diagnosis is important, as the lesions readily cause irreversible damage. Our results indicate that an MPL can be used as an alternative treatment for PEVAC patients.

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 ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Rare Disease ◽  
Optical Coherence Tomography Angiography ◽  
Artery Occlusion ◽  
Optical Coherence ◽  
Retinal Circulation ◽  
Cilioretinal Artery Occlusion ◽  
Cilioretinal Artery

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.

OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY IN RETINAL ARTERY OCCLUSION

Retina ◽  
2015 ◽  
Vol 35 (11) ◽  
pp. 2339-2346 ◽  
Author(s):  
Marco A. Bonini Filho ◽  
Mehreen Adhi ◽  
Talisa E. de Carlo ◽  
Daniela Ferrara ◽  
Caroline R. Baumal ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Optical Coherence Tomography Angiography ◽  
Retinal Artery Occlusion ◽  
Artery Occlusion ◽  
Optical Coherence ◽  
Retinal Artery
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