[Local intra-arterial fibrinolysis in a single-eyed patient with acute occlusion of the central retinal artery].
We report the case of a single-eyed patient with acute occlusion of the central retinal artery on her functional eye. The patient was a 72-year-old women with high cardiovascular risk, bilateral severe myopia, and amblyopia in her right eye. The occlusion affected the left eye so treatment consisting of local intra-arterial fibrinolysis was initiated by administration of alteplase and sodic heparin in the left ophthalmic artery. The result was successful restoration of initial visual acuity after 1 month, which was stable at the 9-month-follow-up.
Bonnin
N
N
Service d'Ophtalmologie, CHU Clermont Ferrand, France. nicoasmo@yahoo.fr
Thomas
V
V
Gabrillargues
J
J
Bacin
F
F
D000208:Acute Disease; D000368:Aged; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage*; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D009880:Ophthalmic Artery; D015356:Retinal Artery Occlusion / Q000188:drug therapy*; D015912:Thrombolytic Therapy / Q000379:methods*; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage*
D005343:Fibrinolytic Agents; D006493:Heparin; D010959:Tissue Plasminogen Activator