Simultaneous occlusion of three cilioretinal arteries following scleral buckling surgery under local anesthesia.
BACKGROUND
Cilioretinal artery (CRA) occlusions are rare in young patients. In these cases, the most commonly associated causes are considered to be the same as those implicated in central retina artery occlusions, such as vasculitic processes, migraine, cardiac disorder, and coagulation abnormality. The aim of this article was to report for the first time the medical records and investigational results of an unusual case of simultaneous occlusion of three CRAs after scleral buckling surgery under local anesthesia.


METHODS
A complete ophthalmic examination, including color fundus image, fundus fluorescein angiography, optical coherence tomography, visual field, as well as systemic and laboratory assessments, was performed.


RESULTS
A case of contemporaneous blockage of three CRAs after ab externo surgery for retinal detachment in a 29-year-old Caucasian woman was reported. The interdisciplinary approach and the imaging results have allowed us the clinical definition of such a very rare case.


CONCLUSIONS
Here, we reported that optical coherence tomography is an indispensable tool to better delineate the pathological process and follow atrophic changes in the macula, especially in cases in which fundus fluorescein angiography and systemic tests may be poorly informative.
Department of Surgical Sciences, Eye Clinic, University of Cagliari, Cagliari, Italy.
Pietro Emanuele
PE
Napoli
Department of Surgical Sciences, Eye Clinic, University of Cagliari, Cagliari, Italy.
Alberto
A
Cuccu
Department of Surgical Sciences, Eye Clinic, University of Cagliari, Cagliari, Italy.
Roberta
R
Farci
Department of Surgical Sciences, Eye Clinic, University of Cagliari, Cagliari, Italy.
Maurizio
M
Fossarello
cilioretinal artery occlusion; optical coherence tomography; retinal detachment
PLoS One. 2014 Nov 04;9(11):e109843
25369027
Am J Ophthalmol. 2014 Aug;158(2):372-380.e1
24794089
Ophthalmology. 1991 May;98(5):594-601
2062490
Ophthalmology. 1988 May;95(5):660-5
3174025
Clin Ophthalmol. 2010 Oct 21;4:1159-63
21060665
Arch Soc Esp Oftalmol. 2016 Jan;91(1):40-3
26652970
J Am Acad Orthop Surg. 2007 Mar;15(3):156-65
17341672
PLoS One. 2014 Dec 23;9(12):e115762
25536051
Retina. 2011 Apr;31(4):730-7
21242861
J Cataract Refract Surg. 2003 Sep;29(9):1821-4
14522307
Jpn J Ophthalmol. 1988;32(4):423-8
3236564