Retinal artery occlusion and multiple retinal deposits as a consequence of therapeutic arteriovenous fistula embolization.
OBJECTIVE
To describe a rare case of a patient who underwent a therapeutic arteriovenous fistula embolization and developed painful vision loss in one eye and to describe the clinical course, present sequential images, and propose an explanation.


METHODS
The record of one patient with subretinal deposits, including fundus photographs and fluorescein angiography, was reviewed.


RESULTS
Fundus photographs show creamy white circumscribed subretinal deposits. Fluorescein angiography shows evidence of retinal and choroidal ischemia.


CONCLUSIONS
This patient had anomalous anatomy with an ophthalmic artery arising from the middle meningeal artery. This allowed the embolic material to reflux into the ophthalmic circulation and deposit in the retinal and choroidal circulation, causing infarcts.
From the Department of Ophthalmology, Northwestern University School of Medicine, Chicago, Illinois.
Michael S
MS
Tsipursky
Lee M
LM
Jampol