case_images: PMC4755464_01
case_images: (A) shows acute cilioretinal artery occlusion after 24 hours following cardiac catheterization. (B) shows resolution of the retinal edema, and residual retinal exudates, 14 weeks later.. Notes: Note deep retinal edema extending into the fovea of the left eye. Present also is a choroidal nevus of the macula.
case_images: imcrj-9-029Fig1.jpg
case_images: PMC4755464_01_imcrj-9-029Fig1.jpg
case_images: f1-imcrj-9-029
case_images: On examination, the patient's best visual acuity in her left eye (VA OS [oculus sinister]) was 20/80, and she had a cilioretinal artery occlusion with edema involving the maculopapular bundle and macula of the left eye, which was documented photographically, albeit through a moderately dense cataract (Figure 1A). She was able to perform all normal functions with the left eye, except those requiring fine resolution (Figure 1B).
case_images: OCT scan of retina in cross-section showing loss of RPE and deep retinal structures nasal to the fovea 14 weeks after the occlusion.. Abbreviations: OCT, optical coherence tomography; RPE, retinal pigment epithelium.
case_images: imcrj-9-029Fig2.jpg
case_images: PMC4755464_01_imcrj-9-029Fig2.jpg
case_images: f2-imcrj-9-029
case_images: An OCT scan demonstrated a narrow line of macular thinning corresponding to the central zone of the cilioretinal artery occlusion, but with substantial preservation on either side of it (Figure 2).
case_images: OCT scan of the macula showing loss of retinal pigment epithelium 14 weeks after the occlusion.. Abbreviations: OS, oculus sinister; ILM, internal limiting membrane; RPE, retinal pigment epithelium; OCT, optical coherence tomography.
case_images: imcrj-9-029Fig3.jpg
case_images: PMC4755464_01_imcrj-9-029Fig3.jpg
case_images: f3-imcrj-9-029
case_images: Cross-sectional imaging showed surprising preservation of the ganglion cell layer and inner nuclear layer, considering that more than 24 hours had elapsed before addressing the retinal ischemia (Figure 3).