Venkatesh Ramesh, Mutalik Deepashri, Reddy Nikitha Gurram, Akkali Mukunda Chaitanya, Yadav Naresh Kumar, Chhablani Jay
Dept. of Retina and Vitreous, Narayana Nethralaya, Bangalore, India.
Medical Retina and Vitreoretinal Surgery, University of Pittsburgh School of Medicine, Pittsburg, PA, United States.
Eur J Ophthalmol. 2023 Jul;33(4):NP85-NP90. doi: 10.1177/11206721221113202. Epub 2022 Jul 5.
To report the retinal vessel wall changes in a patient with acute branch retinal artery occlusion with fundus fluorescein angiography and adaptive optics imaging.
Retrospective, observational case.
A 49-year-old female with cardiac ailment complained of sudden onset superior field loss for 4 days in her right eye. Her presenting visual acuity in the right eye was 20/20, N6. She was diagnosed with right eye infero-temporal branch retinal artery occlusion. A golden-yellow, round coloured embolus was noted on clinical examination obstructing the temporal division of the inferior branch of central retinal artery. Patient underwent ocular massage, anterior chamber paracentesis and oral Acetazolamide medications. Vessel wall changes were noted using fluorescein angiography and adaptive optics retinal imaging at presentation and 10-day follow-up visit.
This case highlights the importance of multimodal retinal imaging like fluorescein angiography and adaptive optics imaging in identifying and understanding the retinal vessel wall changes in the occluded vascular segment of the retina.
通过眼底荧光血管造影和自适应光学成像报告一例急性视网膜分支动脉阻塞患者的视网膜血管壁变化。
回顾性观察病例。
一名49岁患有心脏疾病的女性，主诉右眼突发上半视野缺损4天。其右眼初诊视力为20/20，N6。她被诊断为右眼颞下分支视网膜动脉阻塞。临床检查发现一个金黄色圆形栓子阻塞了视网膜中央动脉下支的颞侧分支。患者接受了眼部按摩、前房穿刺和口服乙酰唑胺药物治疗。在初诊时以及随访10天时，使用荧光血管造影和自适应光学视网膜成像观察血管壁变化。
本病例强调了多模态视网膜成像（如荧光血管造影和自适应光学成像）在识别和理解视网膜阻塞血管段的血管壁变化方面的重要性。
