Detection of underdiagnosed concurrent branch retinal artery occlusion in a patient with central retinal vein occlusion using spectral domain optical coherence tomography

BMC Ophthalmology

Case Report

Anushavan Karapetyan¹  Pingbo Ouyang¹  Jiexi Zeng¹  Luo Sheng Tang¹  Michele Dominique Li Ying¹ 

[1] Department of Ophthalmology, The Second Xiangya Hospital, Central South University, 139 Renmin Middle Road, 410011, Changsha, China;

关键词: Branch retinal artery occlusion;    Central retinal vein occlusion;    Spectral domain optical coherence tomography;   

DOI  :  10.1186/1471-2415-14-91

 received in 2013-12-29, accepted in 2014-07-08,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundCombined branch retinal artery and central retinal vein occlusion is a rare condition that has been infrequently reported. This case report, aside from reporting the above-mentioned condition, highlights the importance of performing spectral domain optical coherence tomography in establishing a complete diagnosis, especially in uncertain and complicated cases. We also present spectral domain optical coherence tomography findings of a case of combined unilateral simultaneous central retinal vein and branch retinal artery occlusion.Case presentationWe present a single case of an initially missed, unilateral branch retinal artery occlusion combined with central retinal vein occlusion in a 51-year-old female Chinese patient without a significant past medical history, who experienced sudden, painless vision diminution in her right eye eleven days prior to presentation. She eventually recovered visual acuity to 0.60, despite having presented with poor vision.ConclusionCombined unilateral central retinal vein and branch retinal artery occlusion may occur in patients with no medical history of arterial hypertension and diabetes mellitus and can achieve a relatively good visual outcome. This case reaffirms the significance of performing a spectral domain optical coherence tomography examination in patients suffering from central retinal vein occlusion with suspicion of unilateral simultaneous branch retinal artery occlusion to identify the affected pathological areas.

【 授权许可】

Unknown   
© Karapetyan et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.