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

Mansooreh Bagheri, Hossein Ashraf, Mohammad Hossein Nowroozzadeh

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.


Keywords


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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