Cilioretinal artery obstruction, optical coherence tomography angiography, ocular hypertension, topical corticosteroid, cardiovascular risk factors.

Cilioretinal artery obstruction, optical coherence tomography angiography, ocular hypertension, topical corticosteroid, cardiovascular risk factors. Arch Soc Esp Oftalmol. 2020 Mar 03;: Authors: Kudsieh B, Sánchez-Dehesa Sáez M, Flores Moreno I, Ruiz Moreno JM Abstract CLINICAL CASE: A 16-year-old patient seen in the Emergency Department due to loss of visual acuity (VA) in the left eye (LE), and oppressive headache of 1 day onset. The patient was on treatment with topical corticosteroids for viral conjunctivitis. The VA was 1.00 in the right eye and 0.05 in LE. The intraocular pressure was 42mmHg in both eyes. In the LE, the funduscopy revealed retinal ischaemic oedema in the papillomacular bundle. The optical coherence tomography angiography (OCT-A) showed an obstruction of the cilioretinal artery. The systemic study was normal, the cardiac and supra-aortic trunks ultrasound was normal, with ocular hypertension secondary to corticosteroids being the only causative agent identified. This case shows that in the event of an obstruction of the cilioretinal artery, a systemic study should be performed in order to identify possible embolic phenomena. Ocular hypertension is one of the possible causes that may be responsible for this condition. PMID: 32143845 [PubMed - as supplied by publisher]
Source: Archivos de la Sociedad Espanola de Oftalmologia - Category: Opthalmology Tags: Arch Soc Esp Oftalmol Source Type: research