Simultaneous presentation of branch retinal artery occlusion and vitreomacular traction.
OBJECTIVE
To report a case of simultaneous presentation of branch retinal artery occlusion and vitreomacular traction and the auxiliary role of optical coherence tomography and fluorescein angiogram in the management of this case.


METHODS
A 42-year-old female patient presented with diminution of vision in the left eye. Visual acuity was 20/200. Ocular examination revealed the presence of whitening of the retina along the superotemporal arcade, suggestive of branch retinal artery occlusion. Fluorescein angiogram showed delayed filling of the superotemporal artery consistent with branch retinal artery occlusion along with uncharacterisitic leakage at the fovea. Optical coherence tomographic scan through the fovea revealed vitreomacular traction with distortion of foveal contour. The patient was diagnosed as a case of branch retinal artery occlusion with vitreomacular traction. The patient underwent vitrectomy for the hyaloidal traction on the macula.


RESULTS
Postoperatively, the visual acuity in the left eye improved to 20/20 with resolution of dye leakage on fluorescein angiogram with normal foveal contour on optical coherence tomography.


CONCLUSIONS
Branch retinal artery occlusion and vitreomacular traction can present simultaneously, and fluorescein angiogram with optical coherence tomography has a complementary role in the management of such cases.
From the Retina Foundation, Ahmedabad, Gujarat, India.
Manish
M
Nagpal
Rituraj
R
Videkar
Kamal
K
Nagpal