Simultaneous Branch Retinal Artery and Central Retinal Vein Occlusion Improved with No Ocular Therapy: A Case Report

Overview

Journal Tomography

Publisher MDPI

Specialty Radiology

Date 2023 Sep 22

PMID 37736992

Authors

Livio Vitiello

Giulio Salerno

Alessia Coppola

Giulia Abbinante

Vincenzo Gagliardi

Alfonso Pellegrino

Affiliations

Soon will be listed here.

Abstract

A rarely described condition known as branch retinal artery occlusion (BRAO) with concurrent obstruction of the central retinal vein (CRVO) is characterized by diffuse retinal hemorrhages, dilated and tortuous retinal veins, macular and disc edema, cotton wool spots, and a generalized delay in arteriovenous transit on fluorescein angiography, together with a retinal whitening in the area of the affected retinal arterial branch. Although BRAO and CRVO may share underlying systemic risk factors, the pathogenesis of combined BRAO + CRVO is still unknown. We present a BRAO + CRVO case report concerning a 63-year-old white male who came to our observation complaining of sudden vision loss in his right eye. An increased risk for thrombotic event was revealed in this case, and the patient improved only with systemic anticoagulant therapy and in the absence of ocular therapy. We also explain all the clinical findings that are detectable using different diagnostic devices and analyze the scientific literature for other, similar clinical cases.

Citing Articles

Intravitreal Dexamethasone Implant Switch after Anti-VEGF Treatment in Patients Affected by Retinal Vein Occlusion: A Review of the Literature.

Vitiello L, Lixi F, Coppola A, Abbinante G, Gagliardi V, Salerno G J Clin Med. 2024; 13(17).

PMID: 39274219 PMC: 11395781. DOI: 10.3390/jcm13175006.

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