Combined central retinal artery and medial posterior ciliary artery occlusion: Localizing the lesion

PURPOSE: To report a rare case of a combined central retinal artery (CRA) and medial posterior ciliary artery (MPCA) occlusion due to an atherosclerotic lesion in the common trunk supplying both arteries. OBSERVATIONS: A 75-year-old man presented with acute vision loss associated with elevated intra...

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Autores principales: Huang, Denis, Liu, Yin Allison, Hacein-Bey, Lotfi, Moussa, Kareem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976205/
https://www.ncbi.nlm.nih.gov/pubmed/36874357
http://dx.doi.org/10.1016/j.ajoc.2023.101823
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author Huang, Denis
Liu, Yin Allison
Hacein-Bey, Lotfi
Moussa, Kareem
author_facet Huang, Denis
Liu, Yin Allison
Hacein-Bey, Lotfi
Moussa, Kareem
author_sort Huang, Denis
collection PubMed
description PURPOSE: To report a rare case of a combined central retinal artery (CRA) and medial posterior ciliary artery (MPCA) occlusion due to an atherosclerotic lesion in the common trunk supplying both arteries. OBSERVATIONS: A 75-year-old man presented with acute vision loss associated with elevated intraocular pressure in the right eye. Multi-modal imaging revealed a combined retinal and choroidal infarction in the distribution of the CRA and MPCA, localizing the lesion to the common trunk of the ophthalmic artery supplying both the CRA and MPCA. Neurovascular imaging provided supportive evidence for the diagnosis. CONCLUSIONS AND IMPORTANCE: A simultaneous retinal and choroidal vascular occlusion is an uncommon presentation. Familiarity with the anatomy of the ophthalmic arteries and its branches facilitates localizing the lesion.
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spelling pubmed-99762052023-03-02 Combined central retinal artery and medial posterior ciliary artery occlusion: Localizing the lesion Huang, Denis Liu, Yin Allison Hacein-Bey, Lotfi Moussa, Kareem Am J Ophthalmol Case Rep Case Report PURPOSE: To report a rare case of a combined central retinal artery (CRA) and medial posterior ciliary artery (MPCA) occlusion due to an atherosclerotic lesion in the common trunk supplying both arteries. OBSERVATIONS: A 75-year-old man presented with acute vision loss associated with elevated intraocular pressure in the right eye. Multi-modal imaging revealed a combined retinal and choroidal infarction in the distribution of the CRA and MPCA, localizing the lesion to the common trunk of the ophthalmic artery supplying both the CRA and MPCA. Neurovascular imaging provided supportive evidence for the diagnosis. CONCLUSIONS AND IMPORTANCE: A simultaneous retinal and choroidal vascular occlusion is an uncommon presentation. Familiarity with the anatomy of the ophthalmic arteries and its branches facilitates localizing the lesion. Elsevier 2023-02-18 /pmc/articles/PMC9976205/ /pubmed/36874357 http://dx.doi.org/10.1016/j.ajoc.2023.101823 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Huang, Denis
Liu, Yin Allison
Hacein-Bey, Lotfi
Moussa, Kareem
Combined central retinal artery and medial posterior ciliary artery occlusion: Localizing the lesion
title Combined central retinal artery and medial posterior ciliary artery occlusion: Localizing the lesion
title_full Combined central retinal artery and medial posterior ciliary artery occlusion: Localizing the lesion
title_fullStr Combined central retinal artery and medial posterior ciliary artery occlusion: Localizing the lesion
title_full_unstemmed Combined central retinal artery and medial posterior ciliary artery occlusion: Localizing the lesion
title_short Combined central retinal artery and medial posterior ciliary artery occlusion: Localizing the lesion
title_sort combined central retinal artery and medial posterior ciliary artery occlusion: localizing the lesion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976205/
https://www.ncbi.nlm.nih.gov/pubmed/36874357
http://dx.doi.org/10.1016/j.ajoc.2023.101823
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