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

Mansooreh Bagheri, Hossein Ashraf, Mohammad Hossein Nowroozzadeh


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.


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


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DOI: http://dx.doi.org/10.16964/er.v4i1.58


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