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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2018  |  Volume : 66  |  Issue : 12  |  Page : 1862-1863

Combined central retinal vein occlusion and branch retinal artery occlusion


Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, Mukundapur, Kolkata, West Bengal, India

Date of Web Publication19-Nov-2018

Correspondence Address:
Dr. Rupak Roy
Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, 147, Mukundapur, E.M. Bypass, Kolkata - 700 099, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_977_18

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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 May 22];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.[1],[2] Echocardiography, carotid Doppler ultrasound, and magnetic resonance imaging brain should be added whenever investigating a combined occlusion.[3]

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

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ozturk T, Takes O, Saatci AO. Dexamethasone implant (ozurdex) in a case with unilateral simultaneous central retinal vein and branch retinal artery occlusion. Case Rep Ophthalmol 2015;6:76-81.  Back to cited text no. 1
    
2.
Karapetyan A, Ouyang P, Tang LS, Zeng J, Ying MD. Detection of underdiagnosed concurrent branch retinal artery occlusion in a patient with central retinal vein occlusion using spectral domain optical coherence tomography. BMC Ophthalmol 2014;14:91.  Back to cited text no. 2
    
3.
Biousse V, Nahab F, Newman NJ. Management of acute retinal ischemia: Follow the guidelines! Ophthalmology 2018 Apr 30. doi: 10.1016/j.ophtha.2018.03.054.  Back to cited text no. 3
    


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