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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.
Subject(s)

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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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