Combined Central Retinal Artery Occlusion and Presumed Ischemic Optic Neuropathy in Atrial Septal Defect: A Case Report

Authors

  • Suntaree Thitiwichienlert Department of Ophthalmology, Faculty of Medicine, Thammasat University
  • Kanitha Kityarak Department of Ophthalmology, Faculty of Medicine, Thammasat University
  • Nattapol Wongkamchang Department of Ophthalmology, Faculty of Medicine, Thammasat University
  • Adisai Buakhamsri Cardiology Unit, Department of Medicine, Faculty of Medicine, Thammasat University

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.

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References

Hayreh SS, Zimmerman MB. Central retinal artery occlusion: visual outcome. Am J Ophthalmol. 2005;140(3):376-91.

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.

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.

Biousse V, Newman NJ. Ischemic Optic Neuropathies. N Engl J Med. 2015 18;372(25): 2428-36.

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.

Bradley EA, Zaidi AN. Atrial Septal Defect. Cardiol Clin. 2020;38(3):317-324.

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.

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).

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.

Hayreh SS, Kolder HE, Weingeist TA. Central retinal artery occlusion and retinal tolerance time. Ophthalmology. 1980;87(1):75-8.

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Published

2023-08-30

How to Cite

[1]
Thitiwichienlert, S., Kityarak , K. , Wongkamchang, N. and Buakhamsri, A. 2023. Combined Central Retinal Artery Occlusion and Presumed Ischemic Optic Neuropathy in Atrial Septal Defect: A Case Report. Asian Medical Journal and Alternative Medicine. 23, 2 (Aug. 2023), 153–156.

Issue

Section

Case Report