case_images: PMC3691971_01
case_images: 30-2 perimetry of the left eye demonstrates an arcuate defect within the superior visual field.
case_images: JOVR-08-58f1.jpg
case_images: PMC3691971_01_JOVR-08-58f1.jpg
case_images: f1-JOVR-08-58
case_images: Analyzer; Carl Zeiss, Jena, Germany) was performed two days after the onset of symptoms and disclosed a superior visual field defect in the left eye (Fig. 1). At the same time, fluorescein angiography depicted no embolus and delayed filling of the affected artery (Fig. 2).
case_images: Early phase fluorescein angiography two days after the attack reveals delayed filling of the affected branch but no embolus.
case_images: JOVR-08-58f2.jpg
case_images: PMC3691971_01_JOVR-08-58f2.jpg
case_images: f2-JOVR-08-58
case_images: Analyzer; Carl Zeiss, Jena, Germany) was performed two days after the onset of symptoms and disclosed a superior visual field defect in the left eye (Fig. 1). At the same time, fluorescein angiography depicted no embolus and delayed filling of the affected artery (Fig. 2).
case_images: Echocardiography of the patient shows a small patent foramen ovale (PFO, green arrow) by a transesophageal approach (A), note the passage of bubbles (green arrow) from the right atrium (RA) to the left atrium (LA) via the PFO (B).
case_images: JOVR-08-58f3.jpg
case_images: PMC3691971_01_JOVR-08-58f3.jpg
case_images: f3-JOVR-08-58
case_images: Accordingly, further echocardiographic studies were performed in search of a probable cardiac source which identified a small PFO which was 1 to 2 mm in diameter (Fig. 3A). TEE illustrated abnormal passage of agitated saline microbubbles through the PFO; following peripheral administration of agitated saline, about 10 micro-bubbles were detected to pass from the right to the left atrium via the PFO with Valsalva maneuver (Fig. 3B).