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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 8  |  Page : 1345

A middle hyper-reflective band on spectral domain optical coherence tomography in a case of acute nonarteritic central retinal artery occlusion with sparing of cilioretinal artery


1 NB‘s Retina Centre, Chandigarh, India
2 Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India

Date of Web Publication22-Jul-2019

Correspondence Address:
Dr. Nishat Bansal
NB‘s Retina Centre, 3878/Sector 32 D, Chandigarh - 160 030
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2138_18

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How to cite this article:
Bansal N, Bansal RK. A middle hyper-reflective band on spectral domain optical coherence tomography in a case of acute nonarteritic central retinal artery occlusion with sparing of cilioretinal artery. Indian J Ophthalmol 2019;67:1345

How to cite this URL:
Bansal N, Bansal RK. A middle hyper-reflective band on spectral domain optical coherence tomography in a case of acute nonarteritic central retinal artery occlusion with sparing of cilioretinal artery. Indian J Ophthalmol [serial online] 2019 [cited 2019 Aug 25];67:1345. Available from: http://www.ijo.in/text.asp?2019/67/8/1345/263138



An 80-year-old female presented with sudden decreased vision in the right eye (RE) since 6 h. Posterior segment examination of RE showed signs suggestive of nonarteritic central retinal artery occlusion (CRAO) with sparing of cilioretinal artery (CLRA) [Figure 1]a and [Figure 1]b. Spectral domain optical coherence tomography (SD OCT) done in macular area showed a middle hyper-reflective band (MHB) in the temporal perifoveal area and increased reflectivity of the inner retinal layers suggestive of ischemia.[1],[2] The nasal perifoveal area showed normal inner retinal structure, without MHB, suggesting sparing of CLRA [Figure 1]c. The presence of MHB on SD OCT can aid in the diagnosis and provide prompt and noninvasive clue to the diagnosis of acute CRAO with sparing of ciliroretinal artery (CLRA).
Figure 1: Color fundus photo (a) and red free (b) showing retinal whitening suggestive of CRAO and CLRA (red arrows). The Corresponding OCT (c) passing through the fovea (green arrow- Fig. 1a) shows hyper-reflectivity of inner retina layers and MHB on temporal perifoveal area (black arrow- Fig. 1c) and normal inner retinal architecture nasal to fovea with absence of MHB

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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.
Feucht N, Zapp D, Reznicek L, Lohmann CP, Maier M, Mayer CS. Multimodal imaging in acute retinal ischemia: Spectral domain OCT, OCT-angiography and fundus autofluorescence. Int J Ophthalmol 2018;11:1521-7.  Back to cited text no. 1
    
2.
Chu YK, Hong YT, Byeon SH, Kwon OW. In vivo detection of acute ischemic damages in retinal arterial occlusion with optical coherence tomography: A “prominent middle limiting membrane sign”. Retina 2013;33:2110-7.  Back to cited text no. 2
    


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