J Korean Ophthalmol Soc.  2007 Jun;48(6):849-853.

A Case of Ophthalmic Artery Occlusion in Moyamoya Disease

Affiliations
  • 1Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea. kimjy@cnu.ac.kr

Abstract

PURPOSE: We report a case of ophthalmic artery occlusion at Moyamoya disease. METHOD: A 64-year-old man who had followed up neurosurgical clinic after diagnosed with Moyamoya disease ten months before presented with sudden visual loss in his right eye. Generalized ophthalmic examinations including fluorescein angiography (FA), electroretinography (ERG) were performed.
RESULTS
At the first visit, corrected visual acuity was counting fingers at 30cm of right eye, 0.8 of left eye. Right eye presented relative afferent pupillary defect. Dilated fundus examination revealed a pale posterior pole and cherry-red spot at right eye. FA demonstrated choroidal filling delay and prolonged arteriovenous transit time. ERG demonstrated decreased amplitude of a and b wave. Twenty months after the initial visit, retinal arterial attenuation and a pale optic disc were revealed.

Keyword

Moyamoya disease; Ophthalmic artery occlusion

MeSH Terms

Choroid
Electroretinography
Fingers
Fluorescein Angiography
Humans
Middle Aged
Moyamoya Disease*
Ophthalmic Artery*
Pupil Disorders
Retinaldehyde
Visual Acuity
Retinaldehyde
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