Spectral domain optical coherent tomography demonstrates structural retinal changes in isolated cilioretinal artery occlusion

Authors

  • Mansooreh Bagheri Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Hossein Ashraf Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  • Mohammad Hossein Nowroozzadeh Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

DOI:

https://doi.org/10.16964/er.v4i1.58

Keywords:

spectral domain optical coherent tomography, OCT, fluorescein angiography, cilioretinal artery occlusion, macular edema, macular atrophy

Abstract

This report demonstrates the structural retinal changes observed in-vivo by spectral domain optical coherent tomography (SD-OCT) in a case of isolated cilioretinal artery occlusion.  A 32-year-old woman presented one week following acute sudden painless loss of vision.  Ophthalmoscopy revealed macular edema and a cherry red spot.  Fluorescein angiography one week post-infarction demonstrated a large patch of macular hypoflorescence in the distribution of the cilioretinal artery, with perfusion of the cilioretinal artery.  Within this same macular distribution, SD-OCT demonstrated increased reflectivity, with increased reflectivity of the inner nuclear, inner plexiform, and ganglion cell layers.  A sharp boundary was present between normal and infarcted macula on SD-OCT imaging.  SD-OCT is a useful tool for diagnosing and identifying the extent of retinal vascular occlusion.

Author Biographies

Mansooreh Bagheri, Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Resident of ophthalmology, Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Hossein Ashraf, Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Ophthalmologist, Fellow in the field of Vitreoretinal diseases,

Mohammad Hossein Nowroozzadeh, Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Ophthalmologist, Fellow in the field of Vitreoretinal diseases

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Published

2018-04-03

Issue

Section

Original Articles