First Author: A.Goktas TURKEY
Co Author(s): 0 0 0 0 0 0 0 0 0
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To report flourescein angiographically confirmed reperfusion of occluded branch retinal artery (BRA) following treatment
Eye Clinic, Kayseri Training and Research Hospital, Kayseri, Turkey
A 75-year-old male patient was referred for sudden onset inferior visual field defect in her right eye. Ocular examination revealed visual acuity of 4/10 in the affected eye. A cholesterol embolus was noted at superior temporal artery after the first bifurcation in her right eye together with mild retinal edema.
With a diagnosis of BRA occlusion confirmed by flourescein angiography (FA), the patient received oral acetazolamide, topical timolol, intravenous mannitol, ocular massage, inhalation of a mixture of 95% oxygen and 5% carbon dioxide and anterior chamber paracentesis. The visual field defect almost totally recovered in hours. FA performed 8 hours after treatment revealed reperfusion of BRA.
Immediate intervention after BRA occlusion may lead reperfusion of occluded artery confirmed by FA.