Central Retinal Artery Occlusion after Trauma: Report of Two Cases.
10.3341/jkos.2016.57.2.324
- Author:
Joong Sik KOH
1
;
Se Joon WOO
Author Information
1. Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Central retinal artery occlusion;
Intra-arterial thrombolysis;
Trauma
- MeSH:
Adult;
Angiography;
Constriction, Pathologic;
Diagnosis;
Embolism;
Eyelids;
Female;
Fluorescein Angiography;
Forehead;
Hand;
Humans;
Middle Aged;
Ophthalmic Artery;
Prunus;
Retina;
Retinal Artery Occlusion*;
Retinal Artery*;
Strikes, Employee;
Tomography, Optical Coherence;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2016;57(2):324-329
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report two patients who developed central retinal artery occlusion (CRAO) after trauma. CASE SUMMARY: A 26-year-old man complained of severe loss of vision in his left eye after falling and bumping his forehead on a staircase. His visual acuity was light perception in the left eye. Fundus examination revealed edematous white retina and a cherry red spot on the macula. Angiography showed severe stenosis in the initial segment of the ophthalmic artery with ophthalmic arterial embolus. He underwent intra-arterial thrombolysis with a clinical diagnosis of CRAO with ophthalmic artery stenosis. A 57-year-old woman presented with vision loss after falling and striking her face below her right lower eyelid on a wooden stick. Her visual acuity was hand motions in the right eye. Fundus examinations showed white retina with opacity and a cherry red spot on the macula. Fluorescein angiography and optical coherence tomography was performed, and a clinical diagnosis of CRAO was made. CONCLUSIONS: CRAO must be considered when clinically differentiating visual loss after a trauma.
