Evaluation of bilateral central retinal artery occlusions with optical coherence tomography-based microangiography: a case report.
BACKGROUND
We report a case of bilateral central retinal artery occlusion and the evaluation of retinal vasculature and capillaries by using optical coherence tomography angiography.


METHODS
A 75-year-old white man presented with central retinal artery occlusion in one eye and underwent a carotid angioplasty. Upon discontinuing anticoagulant, he had a subsequent central retinal artery occlusion in the other eye. Optical coherence tomography angiography images were obtained to compare the retinal microvasculature in both eyes.


CONCLUSIONS
Atrophy of the involved retina continues for several weeks after central retinal artery occlusion but the loss of retinal capillaries is immediate and stable over time. The presence of cilioretinal arteries that perfuse the central macula can prevent profound vision loss.
Department of Ophthalmology, University of Washington, Seattle, WA, USA.
Aaron Y
AY
Lee
Department of Bioengineering, University of Washington, Seattle, WA, USA.
Qinqin
Q
Zhang
Department of Ophthalmology, University of Washington, Seattle, WA, USA.
Douglas M
DM
Baughman
Department of Ophthalmology, University of Washington, Seattle, WA, USA.
Raghu
R
Mudumbai
Department of Ophthalmology, University of Washington, Seattle, WA, USA.|Department of Bioengineering, University of Washington, Seattle, WA, USA.
Ruikang K
RK
Wang
Department of Ophthalmology, University of Washington, Seattle, WA, USA. leecs2@uw.edu.
Cecilia S
CS
Lee
D000368:Aged; D005451:Fluorescein Angiography / Q000379:methods*; D006801:Humans; D008297:Male; D012161:Retinal Artery / Q000000981:diagnostic imaging; D015356:Retinal Artery Occlusion / Q000175:diagnosis / Q000000981:diagnostic imaging*; D041623:Tomography, Optical Coherence / Q000379:methods*
Case report; Central retinal artery occlusion; Optical coherence tomography angiography (OCTA); Optical coherence tomography-based microangiography (OMAG)