Acute Central Retinal Artery Occlusion

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File number: 95640

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    • By Becca Harris
      Retina Specialists of Michigan
      Co-author(s): Nathan Pezda, MD
    • Uploaded on Jul 27, 2022.
    • Last modified by Joshua Friedman on Jul 28, 2022.
    Rating
    Appears in
    Miscellaneous
    Condition/keywords
    Right Eye, fluorescein angiogram (FA), indocyanine green (ICG) angiography, ultra-wide field imaging, Optos, non-perfusion, Choroidal non-perfusion
    Photographer
    Becca Harris
    Imaging device
    Fundus camera
    Optos California
    Description
    Ultra widefield FA/ICG of a 24 year old female with an acute central retinal artery occlusion affecting the right eye. Patient presented with extreme headaches following DAVF surgery the previous day. Patient has Factor VIII deficiency and had a cerebral venous thrombosis 9 years ago and lost vision in the right eye at that time. Patient has history of optic sheath fenestration OU and craniotomy. On initial evaluation, she had a CRAO as well as diffuse choroidal nonperfusion noted on optos FA. Suspect nonperfusion to third and sixth nerve leading to palsy. Occlusion of vasculature in the setting of recent endovascular embolization of fistulas in the CNS. Discussed diagnosis and poor prognosis with parents and patient. Patient had no light perception at the time of her initial appointment.

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