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Keywords

Central retinal artery occlusion, Ischemic optic neuropathy, Atrial septal defect

Abstract

A female presented with acute visual loss in the right eye. Fundus examination showed whitening retinal edema, disc swelling, and a cherry red spot in the right eye. Findings were suggestive of central retinal artery occlusion and ischemic optic neuropathy. Echocardiography revealed an atrial septal defect, which was successfully closed.

References

  1. Hayreh SS, Zimmerman MB. Central retinal artery occlusion: visual outcome. Am J Ophthalmol. 2005;140(3):376-91.
  2. Sharma S, Brown GC, Pater JL, Cruess AF. Does a visible retinal embolus increase the likelihood of hemodynamically significant carotid artery stenosis in patients with acute retinal arterial occlusion? Arch Ophthalmol. 1998;116(12):1602-6.
  3. Varma DD, Cugati S, Lee AW, Chen CS. A review of central retinal artery occlusion: clinical presentation and management. Eye (Lond). 2013;27(6):688-97.
  4. Biousse V, Newman NJ. Ischemic Optic Neuropathies. N Engl J Med. 2015 18;372(25): 2428-36.
  5. Mac Grory B, Schrag M, Biousse V, Furie KL, Gerhard-Herman M, Lavin PJ, Sobrin L, Tjoumakaris SI, Weyand CM, Yaghi S; American Heart Association Stroke Council; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Hypertension; and Council on Peripheral Vascular Disease. Management of Central Retinal Artery Occlusion: A Scientific Statement From the American Heart Association. Stroke. 2021;52(6):e282-94.
  6. Bradley EA, Zaidi AN. Atrial Septal Defect. Cardiol Clin. 2020;38(3):317-324.
  7. Purgert RJ, Peralta E, McClelland CM, Van Stavern GP. Combined anterior ischemic optic neuropathy and hemiretinal artery occlusion during hemodialysis. Can J Ophthalmol. 2015;50(1):e19-21.
  8. Gupta S, Aryal M, Rajbhandari Y, Adhikari A, Kamble VK, Aryal B. Central Retinal Artery Occlusion Associated with Atrial Septal Defect: A Case Report. J. Lumbini Med. Coll. [Internet]. 2019 Jun. 25 [cited 2022 Jul. 22];7(1).
  9. Kitamura T, Arakawa S, Murao K, Kitazono T, Ago T. Paradoxical Brain Embolism in Elderly Subjects with Small Atrial Septal Defects. J Stroke Cerebrovasc Dis. 2018;27(7):1987-91.
  10. Hayreh SS, Kolder HE, Weingeist TA. Central retinal artery occlusion and retinal tolerance time. Ophthalmology. 1980;87(1):75-8.

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