Spectral domain optical coherent tomography demonstrates structural retinal changes in isolated cilioretinal artery occlusion
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.
Full Text:PDF - EyeReports 2018 v4 p11-13
Elasque L, Ballions JC, Labrouze JM, et al. Isolated occlusion of a cilioretinal artery. J Fr Ophthalmol 1999; 22: 388–93.
Elasri F, Souhail H, Reda K, et al. Isolated cilioretinal artery occlusion as an initial manifestation of polycythemia vera. Middle East Afr J Ophthalmol 2010; 17: 275–7.
Messner LV, Newman TL, Bartlett M, Conto JE. Cilioretinal artery occlusion with central retinal vein occlusion. Optom Vis Sci. 1999; 76: 741-6.
Brown GC, Moffat K, Cruess, A, et al. Cilioretinal artery obstruction. Retina 1983; 3: 182-7.
Shields MV, Welch RJ, Say EAT, et al. Cilioretinal artery imaged with optical coherence tomography angiography. Ophthalmol 2017; 124: 1448.
An L, Li P, Lan G, et al. High-resolution 1050 nm spectral domain retinal optical coherence tomography at 120 kHz A-scan rate with 6.1 mm imaging depth. Biomed Opt Express. 2013; 4: 245–59.
Leitgeb R., Hitzenberger C, Fercher A. Performance of Fourier domain vs. time domain optical coherence tomography. Opt Express. 2003; 11, 889–94.
Wolf-Schnurrbusch UE, Ghanem R, Rothenbuehler SP, et al. Predictors of short-term visual outcome after anti-VEGF therapy of macular edema due to central retinal vein occlusion. Invest Ophthalmol Vis Sci. 2011; 52: 3334-7.
Mańkowski W, Wylegała E. Optical coherence tomography (OCT) in central retinal occlusion with sparing cilioretinal artery--a case report. Klin Oczna. 2008; 110: 304-7.
Murthy RK, Grover S, Chalam KV. Sequential spectral domain OCT documentation of retinal changes after branch retinal artery occlusion. Clin Ophthalmol. 2010; 4: 327–9.
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 3.0 License.
Eye Reports [eISSN 2039-4756] is a new Open Access, online-only, peer-reviewed journal.