Resolved incomplete central retinal-artery obstruction simulating ischemic optic neuropathy.
To our knowledge, this is the first reported case of an embolic three-fourths central retinal-artery obstruction with isolated sparing of the superior temporal branch artery. Multiple nonfoveolar-sparing cilioretinal arteries were also present. As a result of the unusual obstruction distribution, ischemic optic neuropathy was simulated after a five-month interval. Patients who are not seen acutely after a retinal-artery obstruction may be diagnosed and managed incorrectly if this variation from the usual condition is not recognized.
Perkins
S A
SA
Retina Vascular Unit, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107.
Magargal
L E
LE
Maizel
R D
RD
Robb-Doyle
E
E
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D003937:Diagnosis, Differential; D005451:Fluorescein Angiography; D006801:Humans; D006973:Hypertension / Q000150:complications; D007511:Ischemia / Q000175:diagnosis*; D008297:Male; D009900:Optic Nerve / Q000098:blood supply*; D010781:Photography; D012161:Retinal Artery; D012164:Retinal Diseases / Q000175:diagnosis; D014792:Visual Acuity