Sequential bilateral retinal artery occlusion

Noel Padrón-Pérez,1 Janny Rosario Aronés,2 Silvia Muñoz,1 Luis Arias-Barquet,1 Jorge Arruga1,31Department of Ophthalmology, Hospital Universitari de Bellvitge, 2Hospital de l'Esperança – Parc de Salut Mar, 3Institut Catal&...

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Autores principales: Padrón-Pérez N, Aronés JR, Muñoz S, Arias-Barquet L, Arruga J
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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Acceso en línea:https://doaj.org/article/5401c303a1e34a5585e6433d83d4ff7a
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spelling oai:doaj.org-article:5401c303a1e34a5585e6433d83d4ff7a2021-12-02T03:49:34ZSequential bilateral retinal artery occlusion1177-5483https://doaj.org/article/5401c303a1e34a5585e6433d83d4ff7a2014-04-01T00:00:00Zhttp://www.dovepress.com/sequential-bilateral-retinal-artery-occlusion-a16440https://doaj.org/toc/1177-5483 Noel Padrón-Pérez,1 Janny Rosario Aronés,2 Silvia Muñoz,1 Luis Arias-Barquet,1 Jorge Arruga1,31Department of Ophthalmology, Hospital Universitari de Bellvitge, 2Hospital de l'Esperança – Parc de Salut Mar, 3Institut Català de Retina, Barcelona, SpainAbstract: An 86 year old woman experienced a sequential bilateral loss of vision over a period of less than 24 hours. Clinical findings and complementary studies suggested a bilateral atherogenic embolic event. Initially, she presented a superior branch retinal artery occlusion in her right eye followed by a central retinal artery occlusion with cilioretinal artery sparing in her left eye. Some conservative maneuvers performed did not improve visual acuity in the left eye. Supra-aortic Doppler ultrasonography revealed mild right internal carotid artery stenosis and moderate left internal carotid artery stenosis with a small, smooth, and homogeneous plaque. The transthoracic echocardiography showed a severe calcification of the mitral valve with a mild-moderate rim of stenosis. Central retinal artery occlusion and branch retinal artery occlusion are characterized by painless monocular loss of vision. Clinical approach and management attempt to treat the acute event, find the source of the vascular occlusion, and prevent further vascular events from occurring. Giant cell arteritis is a potentially treatable cause of central retinal artery occlusion and should be excluded in every single patient over 50 years old.Keywords: loss of vision, branch retinal artery occlusion, central retinal artery occlusion, Hollenhorst plaquePadrón-Pérez NAronés JRMuñoz SArias-Barquet LArruga JDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 733-738 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Padrón-Pérez N
Aronés JR
Muñoz S
Arias-Barquet L
Arruga J
Sequential bilateral retinal artery occlusion
description Noel Padrón-Pérez,1 Janny Rosario Aronés,2 Silvia Muñoz,1 Luis Arias-Barquet,1 Jorge Arruga1,31Department of Ophthalmology, Hospital Universitari de Bellvitge, 2Hospital de l'Esperança – Parc de Salut Mar, 3Institut Català de Retina, Barcelona, SpainAbstract: An 86 year old woman experienced a sequential bilateral loss of vision over a period of less than 24 hours. Clinical findings and complementary studies suggested a bilateral atherogenic embolic event. Initially, she presented a superior branch retinal artery occlusion in her right eye followed by a central retinal artery occlusion with cilioretinal artery sparing in her left eye. Some conservative maneuvers performed did not improve visual acuity in the left eye. Supra-aortic Doppler ultrasonography revealed mild right internal carotid artery stenosis and moderate left internal carotid artery stenosis with a small, smooth, and homogeneous plaque. The transthoracic echocardiography showed a severe calcification of the mitral valve with a mild-moderate rim of stenosis. Central retinal artery occlusion and branch retinal artery occlusion are characterized by painless monocular loss of vision. Clinical approach and management attempt to treat the acute event, find the source of the vascular occlusion, and prevent further vascular events from occurring. Giant cell arteritis is a potentially treatable cause of central retinal artery occlusion and should be excluded in every single patient over 50 years old.Keywords: loss of vision, branch retinal artery occlusion, central retinal artery occlusion, Hollenhorst plaque
format article
author Padrón-Pérez N
Aronés JR
Muñoz S
Arias-Barquet L
Arruga J
author_facet Padrón-Pérez N
Aronés JR
Muñoz S
Arias-Barquet L
Arruga J
author_sort Padrón-Pérez N
title Sequential bilateral retinal artery occlusion
title_short Sequential bilateral retinal artery occlusion
title_full Sequential bilateral retinal artery occlusion
title_fullStr Sequential bilateral retinal artery occlusion
title_full_unstemmed Sequential bilateral retinal artery occlusion
title_sort sequential bilateral retinal artery occlusion
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/5401c303a1e34a5585e6433d83d4ff7a
work_keys_str_mv AT padroacutenpeacuterezn sequentialbilateralretinalarteryocclusion
AT aroneacutesjr sequentialbilateralretinalarteryocclusion
AT muntildeozs sequentialbilateralretinalarteryocclusion
AT ariasbarquetl sequentialbilateralretinalarteryocclusion
AT arrugaj sequentialbilateralretinalarteryocclusion
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