title: Presumed bilateral cilioretinal artery occlusion related to relapsing white dot syndrome.
abstract: OBJECTIVE
  To report a presumed case of bilateral asynchronous cilioretinal occlusion associated with white dot syndrome.
  
  
  METHODS
  A 19-year-old woman presented with decreased vision in the right eye. Cilioretinal occlusion was diagnosed and multimodal imaging was performed.
  
  
  RESULTS
  Laboratory workup was negative. Fluorescein and indocyanine green angiography revealed an inflammatory choroidopathy in the right eye. Spectral-domain coherence tomography (OCT) initially showed internal retinal layer edema followed by atrophy in the papillomacular bundle. Left eye presented asymptomatic decreased visual acuity and OCT findings were compatible with previous cilioretinal occlusion.
  
  
  CONCLUSIONS
  Cilioretinal occlusion findings were present in both eyes. Multimodal fundus imaging allowed idiopathic inflammatory choroidopathy diagnosis in the right eye, suggesting that a recurrent inflammatory process caused an asynchronous vascular occlusion.
authors.affiliation: Department of Ophthalmology, Centro Hospitalar São João, Porto - Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Beato
authors.affiliation: Department of Ophthalmology, Centro Hospitalar São João, Porto - Portugal.|Department of Pharmacology, Faculty of Medicine, University of Porto, Porto - Portugal.
authors.forename: Luís
authors.initials: L
authors.lastname: Fígueira
authors.affiliation: Department of Ophthalmology, Centro Hospitalar São João, Porto - Portugal.|Department of Sense Organs, Faculty of Medicine, University of Porto, Porto - Portugal.
authors.forename: Susana
authors.initials: S
authors.lastname: Penas
authors.affiliation: Department of Ophthalmology, Centro Hospitalar São João, Porto - Portugal.|Department of Sense Organs, Faculty of Medicine, University of Porto, Porto - Portugal.
authors.forename: Renato
authors.initials: R
authors.lastname: Santos-Silva
authors.affiliation: Department of Ophthalmology, Centro Hospitalar São João, Porto - Portugal.|Department of Sense Organs, Faculty of Medicine, University of Porto, Porto - Portugal.
authors.forename: Manuel
authors.initials: M
authors.lastname: Falcão
authors.affiliation: Department of Ophthalmology, Centro Hospitalar São João, Porto - Portugal.|Department of Sense Organs, Faculty of Medicine, University of Porto, Porto - Portugal.
authors.forename: Ângela
authors.initials: Â
authors.lastname: Carneiro
authors.affiliation: Department of Ophthalmology, Centro Hospitalar São João, Porto - Portugal.|Department of Sense Organs, Faculty of Medicine, University of Porto, Porto - Portugal.
authors.forename: Fernando Falcão
authors.initials: FF
authors.lastname: Reis
mesh_terms: D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D001241:Aspirin / Q000627:therapeutic use; D019842:Ciliary Arteries / Q000473:pathology*; D004396:Coloring Agents / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D017984:Enoxaparin / Q000627:therapeutic use; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D005451:Fluorescein Angiography; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007208:Indocyanine Green / Q000008:administration & dosage; D008775:Methylprednisolone / Q000627:therapeutic use; D010211:Papilledema / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D012008:Recurrence; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D012164:Retinal Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D041623:Tomography, Optical Coherence; D014786:Vision Disorders / Q000175:diagnosis; D014792:Visual Acuity; D055815:Young Adult
chemical_list: D004396:Coloring Agents; D017984:Enoxaparin; D005343:Fibrinolytic Agents; D005938:Glucocorticoids; D007208:Indocyanine Green; D001241:Aspirin; D008775:Methylprednisolone