Successful Endovascular Thrombectomy in a Patient with Monocular Blindness Due to Thrombus of the Ophthalmic Artery Orifice
Journal of Neurocritical Care
;
(2): 58-62, 2018.
Article
in Korean
| WPRIM
| ID: wpr-765893
ABSTRACT
BACKGROUND:
Retinal artery occlusion can lead to sudden visual loss without pain. The acute management of retinal artery occlusion remains unresolved. CASE REPORT A 65-year-old male was hospitalized to an emergency room for visual loss on the left side within 6 hours of onset. Combined occlusion at retinal artery and ciliary artery was confirmed by an ophthalmologist and we assessed ophthalmic artery occlusion. However, MRA revealed no significant steno-occlusion of internal carotid artery. Transfemoral cerebral angiography was carried out immediately and showed a movable thrombus at the orifice of the ophthalmic artery. We decided on endovascular thrombectomy to prevent permanent visual loss. Finally, his visual acuity was improved after successful thrombectomy.CONCLUSIONS:
Although MRA is intact, small thrombus right at the orifice of the ophthalmic artery can cause a sudden monocular visual loss due to occlusion of the retinal artery. In this setting, urgent endovascular thrombectomy can offer visual improvement.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ophthalmic Artery
/
Retinal Artery
/
Thrombosis
/
Cerebral Angiography
/
Retinal Artery Occlusion
/
Carotid Artery, Internal
/
Visual Acuity
/
Blindness
/
Thrombectomy
/
Ciliary Arteries
Limits:
Aged
/
Humans
/
Male
Language:
Korean
Journal:
Journal of Neurocritical Care
Year:
2018
Type:
Article
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