Korean J Ophthalmol.  1999 Dec;13(2):110-114. 10.3341/kjo.1999.13.2.110.

Central retinal vein occlusion combined with cilioretinal artery occlusion

• Kim IT
• Lee WY
• Choi YJ

• KMID: 1127512
• DOI: http://doi.org/10.3341/kjo.1999.13.2.110

Abstract

A healthy 65-year-old man with sudden profound visual loss in his right eye presented with clinical signs of central retinal venous occlusion and retinal whitening, indicative of a cilioretinal arterial obstruction. He had been diagnosed with cilioretinal artery occlusion at a private ophthalmology clinic three days before being referred to our department. On fluorescein angiogram of the affected eye, the proximal portion of the retinal arteries filled with dye 27.3 seconds after injection, indicating a delay in retinal arterial filling. Moreover, the cilioretinal artery did not fill at that phase, but went on to fill 45.1 seconds after injection. Over 63.4 seconds after the filling of the retinal arteries, the laminar flow of the retinal venous vessels appeared. This was not until 90.7 seconds after injection. This patient was elderly, had no systemic diseases, and showed non-ischemic CRVO, prolonged retinal arterial filling on fluorescein angiography, and poor prognosis in visual acuity. His clinical course seemed to favor the pathogenetic hypothesis of a primary arterial affection.

MeSH Terms

Aged
Blindness/etiology
Blindness/drug therapy
Blindness/diagnosis
Case Report
Ciliary Arteries*/pathology
Diagnosis, Differential
Fluorescein Angiography
Fundus Oculi
Human
Male
Pentoxifylline/therapeutic use
Retinal Artery Occlusion/drug therapy
Retinal Artery Occlusion/diagnosis
Retinal Artery Occlusion/complications*
Retinal Vein Occlusion/drug therapy
Retinal Vein Occlusion/diagnosis
Retinal Vein Occlusion/complications*
Vasodilator Agents/therapeutic use