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International Ophthalmology

, Volume 31, Issue 3, pp 215–217 | Cite as

Delayed cilioretinal artery occlusion after a hemiretinal vein occlusion

  • Malavika Subash
  • Kamaljit S. Balaggan
  • Hadi J. Zambarakji
Case Report

Abstract

The purpose of this study is to report a case of combined hemiretinal vein occlusion and cilioretinal artery occlusion (CLRAO), in which the development of the CLRAO was substantially delayed. This interventional case report illustrates the sequential development of a cilioretinal artery occlusion following a hemiretinal vein occlusion with colour fundus and fluorescein angiogram photographs. Systemic examination revealed previously unrecorded hypertension for which her general practitioner commenced treatment. The patient developed an inferior visual field defect however made a visual recovery to 20/40 at 6-month follow-up. In this report, the risk factors and the likely pathogenesis for such an event are studied.

Keywords

Hemiretinal vein occlusion Hypertension Cilioretinal artery occlusion 

References

  1. 1.
    Hayreh SS, Fraterrigo L, Jonas J (2008) Central retinal vein occlusion associated with cilioretinal artery occlusion. Retina 28:581–594PubMedCrossRefGoogle Scholar
  2. 2.
    Hayreh SS (1971) Pathogenesis of occlusion of central retinal vessels. Am J Ophthalmol 72:998–1011PubMedGoogle Scholar
  3. 3.
    Bottos JM, Aggio FB, Dib E, Farah ME (2008) Impending central retinal vein occlusion associated with cilioretinal artery obstruction. Clin Ophthalmol 2:665–668PubMedCrossRefGoogle Scholar
  4. 4.
    Schatz H, Fong AC, McDonald HR, Johnson RN, Joffe L, Wilkinson CP, de Laey JJ, Yannuzzi LA, Wendel RT, Joondeph BC et al (1991) Cilioretinal artery occlusion in young adults with central retinal vein occlusion. Ophthalmology 98:594–601PubMedGoogle Scholar
  5. 5.
    Donati G, Pournaras CJ, Pizzolato GP et al (1997) Decreased nitric oxide production accounts for secondary arteriolar constriction after retinal branch vein occlusion. Invest Ophthalmol Vis Sci 38:1450–1457PubMedGoogle Scholar
  6. 6.
    Hayreh SS, Revie HIS, Edwards J (1970) Vasogenic origin of visual field defects and optic nerve changes in glaucoma. Br J Ophthalmol 54:461–472PubMedCrossRefGoogle Scholar
  7. 7.
    Schwartz SG, Hickey M, Puliafito CA (2006) Bilateral CRAO and CRVO from thrombotic thrombocytopenic purpura: OCT findings and treatment with triamcinolone acetonide and bevacizumab. Ophthalmic Surg Lasers Imaging 37:420–422PubMedGoogle Scholar
  8. 8.
    Hamann S, Johansen S (2006) Combined central retinal artery and vein occlusion in Churg − Strauss syndrome: case report. Acta Ophthalmol Scand 84:703–706PubMedCrossRefGoogle Scholar
  9. 9.
    Mendrinos E, Mavrakanas N, Kiel R, Pournaras CJ (2009) Bilateral combined central retinal artery and vein occlusion in systemic lupus erythematosus resulting in complete blindness. Eye 23:1231–1232PubMedCrossRefGoogle Scholar
  10. 10.
    Barroso LH, Ragge NK, Hoyt WF (1991) Multiple cilioretinal arteries and dysplasia of the optic disc. J Clin Neuroophthalmol 11:278–279PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  • Malavika Subash
    • 1
  • Kamaljit S. Balaggan
    • 1
  • Hadi J. Zambarakji
    • 2
  1. 1.Moorfields Eye HospitalLondonUK
  2. 2.Whipps Cross University HospitalLondonUK

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