medigraphic.com
Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2004, Number 1

<< Back

Rev Mex Oftalmol 2004; 78 (1)

Neovascularización de la papila secundaria a oclusión de la arteria central de la retina en un sujeto con enfermedad carotídea. Presentación de un caso

Prado-Serrano A, De Obaldía-Faruggia I

Language: Spanish
References: 27
Page: 33-36
PDF size: 217.64 Kb.


ABSTRACT

Central retinal artery occlusion produces an ischemic infarct of the inner two thirds of the retinal layers. Most common etiological factors are vascular emboli from the head or left heart conforming an emergency, which is not very frequently encountered in the ophthalmologic clinical practice.
This report documents the clinical and fluorescein angiographic findings in a subject with carotid artery insufficiency.
This patient was initially seen with an acute central retinal artery occlusion, optic disc neovascularization and amaurosis fugax. The ophthalmoscopic findings showed whitening of the posterior pole, arterial attenuation and pale optic disc.
Serial fluorescein angiograms showed a nearly total shutdown of choroidal and retinal perfusion and eventual development of a huge optic disc neovascular frond. This suggests a previously existing ischemic oculopathy with a superimposed acute central retina artery occlusion.


REFERENCES

  1. Duker JS. Retinal arterial obstruction. En: Yanoff M, Duker J (ed.). Ophthalmology. London, Mosby, 1999. p: 8-17.1-17.8.

  2. Bartlett J, Jaanus S, Ross R. Terapéutica en oftalmología. México. Mc Graw-Hill Interamericana, 1998.

  3. Rhee D, Pyfer M. Manual de urgencias oftalmológicas. México. Mc Graw-Hill Interamericana, 2001.

  4. Brown GC. Retinal arterial obstructive disease. En: Schachat A, Murphy R, Patz A (ed.). Medical Retina. St Louis, Mosby,1989. p:1361-1377.

  5. Monadas K. Retina y Vítreo. En: Pavan-Langston D (ed.). Manual de diagnóstico y terapéutica ocular. España, Masson, 1993. p:183-184.

  6. Werner MS, Latchaw R, Baker L, Wirtschafter JD. Relapsing and remitting central retinal artery occlusion. Am J Ophthalmol 1994; 118:393-395.

  7. Duker JS, Sivalingam A, Brown GC, Reber R. A prospective study of acute central retinal artery obstruction . Arch Ophthalmology 1991; 109:339-342.

  8. Hayreh S, Podhajsky P. Ocular neovascularization with retinal vascular occlusion. Arch Ophthalmology 1982. 100:1585-1596.

  9. Duker JS, Brown GC. Neovascularization of the optic disc associated with central retinal artery. Ophthalmology 1989; 96:87-91.

  10. Ko MK, Kim DS. Posterior segment neovascularization associated with acute ophthalmic artery obstruction. Retina 2002; 20:384-388.

  11. Vander J, Brown GC, Benson W. Iris neovascularization after central retinal artery obstruction despite previous panretinal photocoagulation for diabetic retinopathy. Am J Ophthalmology 1991; 109: 464-468.

  12. Duker JS, Brown GC. The efficacy of panretinal photocoagulation for neovascularization of the iris after central retinal artery obstruction. Ophthalmology 1989; 96:92-95.

  13. Atebara NH, Brown GC, Carter J. Efficacy of anterior chamber paracentesis and carbogen in treating nonarteritic central retinal artery obstruction. Ophthalmology 1995; 102:2029-2035.

  14. Rossman H. Treatment of retinal vascular occlusion by means of fibrinolysis. Posgraduate Medicine J 1973; 105-108.

  15. Schmidt D, Schumacher M, Wakhloo AK. Microcatheter urokinase infusion in central retinal artery obstruction. Am J Opthalmol 1992; 113:429-434.

  16. LombardoA. Acute central retinal artery occlusion. www.wilmer.jhu.edu

  17. BrownGC, Magargal LE, Simeone FA. Arterial obstruction and ocular neovascularization. Ophthalmology 1982; 89:139-146.

  18. Bullock JD, Falter RT, Downing JE, Snyder HE: Ischemic ophthalmia secondary to an ophthalmic artery occlusion. Am J Ophthalmol 1972; 74:486-493.

  19. Brown GC, Magargal LE. Sudden occlusion of the retinal and posterior choroidal circulations in a youth. Am J Ophthalmol 1979; 88:690-693.

  20. Brown GC. Isolated central retinal artery obstruction in association with ocular neovascularización. Am J Ophthalmol 1983; 96:110-111.

  21. Asdourian GK, Goldberg MF, Busse B. Optic disc neovascularization of uveal (choroidal or posterior ciliary) origin. Arch Ophthalmol 1977; 95:998-1003.

  22. Hayreh SS. Occlusion of the central retinal vessels. Br J Ophthalmol 1965; 49:626-645.

  23. Willerson DJr, Aaberg TM. Acute central retinal artery occlusion and optic disc neovascularization. Am J Ophthalmol 1978; 96:451-452.

  24. Brown GC, Magargal LE, Sergott R. Acute obstruction of the retinal and choroidal circulations. Ophthalmology 1986; 93:1373-1382.

  25. Henkind P, Wise GN. Retinal neovascularization and collaterals, and vascular shunts. Br J Ophthalmol 1974; 58:413-422.

  26. Duker JS, Brown GC. Iris neovascularization associated with obstruction of the central retinal artery. 1995; 1244-1250.

  27. Hayreh SS. Blood supply of the optic nerve head and its role in optic atrophy, glaucoma, and edema of the optic disc. Br J Ophthalmol 1969; 53:721-748.




2020     |     www.medigraphic.com