Successful Endovascular Thrombectomy in a Patient with Monocular Blindness Due to Thrombus of the Ophthalmic Artery Orifice
- Author:
Seong Hwa JANG
1
;
Sung Il SOHN
;
Joonsang YOO
;
Jeong Ho HONG
Author Information
- Publication Type:Case Report
- Keywords: Monocular blindness; Ophthalmic artery; Thrombectomy
- MeSH: Aged; Blindness; Carotid Artery, Internal; Cerebral Angiography; Ciliary Arteries; Emergency Service, Hospital; Humans; Male; Ophthalmic Artery; Retinal Artery; Retinal Artery Occlusion; Thrombectomy; Thrombosis; Visual Acuity
- From: Journal of Neurocritical Care 2018;11(1):58-62
- CountryRepublic of Korea
- Language:Korean
- Abstract: BACKGROUND: Retinal artery occlusion can lead to sudden visual loss without pain. The acute management of retinal artery occlusion remains unresolved. CASE REPORT: A 65-year-old male was hospitalized to an emergency room for visual loss on the left side within 6 hours of onset. Combined occlusion at retinal artery and ciliary artery was confirmed by an ophthalmologist and we assessed ophthalmic artery occlusion. However, MRA revealed no significant steno-occlusion of internal carotid artery. Transfemoral cerebral angiography was carried out immediately and showed a movable thrombus at the orifice of the ophthalmic artery. We decided on endovascular thrombectomy to prevent permanent visual loss. Finally, his visual acuity was improved after successful thrombectomy. CONCLUSIONS: Although MRA is intact, small thrombus right at the orifice of the ophthalmic artery can cause a sudden monocular visual loss due to occlusion of the retinal artery. In this setting, urgent endovascular thrombectomy can offer visual improvement.
