|Year : 2018 | Volume
| Issue : 12 | Page : 1862-1863
Combined central retinal vein occlusion and branch retinal artery occlusion
Sugandha Goel, Kumar Saurabh, Rupak Roy
Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, Mukundapur, Kolkata, West Bengal, India
|Date of Web Publication||19-Nov-2018|
Dr. Rupak Roy
Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, 147, Mukundapur, E.M. Bypass, Kolkata - 700 099, West Bengal
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Goel S, Saurabh K, Roy R. Combined central retinal vein occlusion and branch retinal artery occlusion. Indian J Ophthalmol 2018;66:1862-3
|How to cite this URL:|
Goel S, Saurabh K, Roy R. Combined central retinal vein occlusion and branch retinal artery occlusion. Indian J Ophthalmol [serial online] 2018 [cited 2019 Aug 20];66:1862-3. Available from: http://www.ijo.in/text.asp?2018/66/12/1862/245647
A 66-years-old female was diagnosed to have combined central retinal vein occlusion (CRVO) and branch retinal artery occlusion (BRAO). Colour fundus photograph [Figure 1]a showing multiple haemorrhages and pale ischaemic area superiorly (black arrow). In [Figure 1]b, fundus fluorescein angiography (FFA) shows delayed arterial filling and prolonged arteriovenous transit time. Multicolour imaging highlights the area of ischaemia (black arrow) and serous fluid in macular area as dark green as shown in [Figure 1]c. In [Figure 1]d and [Figure 1]e, optical coherence tomography shows hyper-reflectivity of inner retinal layers (red arrow) and serous detachment (star), respectively.
|Figure 1: Colour fundus photograph (a) showing multiple haemorrhages, disc oedema, and pale ischaemic area superiorly (black arrow). Fundus fluorescein angiography (b) showing delayed arterial dye filling and prolonged arteriovenous transit time. Multicolour imaging (c) highlighting the area of ischaemia (black arrow) and showing greenish tinge in the area of macular oedema. Optical coherence tomography showing hyper-reflectivity of inner retinal layers (d) (red arrow) and increase in retinal thickness (e) in the corresponding areas|
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Combined CRVO and BRAO is uncommon and the arterial occlusion is often missed., Echocardiography, carotid Doppler ultrasound, and magnetic resonance imaging brain should be added whenever investigating a combined occlusion.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
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