Hemi-central retinal artery occlusion in young adults.
Date
2010-09
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Abstract
Amongst the clinical presentations of retinal artery occlusion, hemi-central retinal artery occlusion (Hemi-CRAO) is rarely described. This case series of four adults aged between 22 and 36 years attempts to describe the clinical profile, etiology and management of Hemi-CRAO. Case 1 had an artificial mitral valve implant. Polycythemia and malignant hypertension were noted in Case 2. The third patient had Leiden mutation while the fourth patient had Eisenmenger’s syndrome. Clinical examination and fundus fluorescein angiography revealed a bifurcated central retinal artery at emergence from the optic nerve head, in all cases. Color Doppler examination of the central retinal artery confirmed branching of the artery behind the lamina cribrosa. It is hypothesized that bifurcation of central retinal artery behind the lamina cribrosa may predispose these hemi-trunks to develop an acute occlusion if associated with underlying risk factors. The prognosis depends upon arterial recanalisation and etiology of the thromboembolic event.
Description
Keywords
Central retinal artery occlusion, Eisenmenger’s syndrome, embolus, hemi-central artery occlusion, Leiden mutation, malignant hypertension, polycythemia, retinal artery occlusion, thrombosis
Citation
Rishi Pukhraj, Rishi Ekta, Sharma Tarun, Mahajan Sheshadri. Hemi-central retinal artery occlusion in young adults. Indian Journal of Ophthalmology. 2010 Sept; 58(5): 425-432.