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OPHTHALMIC IMAGE
Year : 2020  |  Volume : 68  |  Issue : 8  |  Page : 1670-1671

Ischemic macular hole in central retinal artery occlusion


1 Shri Bhagwan Mahavir Department of Vitreo Retina Services and Ocular Oncology, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India
2 Department of Uvea, Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, Tamil Nadu, India
3 Vitreoretina Consultant, Sarakshi Netralaya, Nagpur, Maharashtra, India

Date of Web Publication24-Jul-2020

Correspondence Address:
Dr. Parveen Sen
Sankara Nethralaya, Medical Research Foundation, No. 41, Old 18, College Rd, Opposite Women's Christian College, Thousand Lights West, Nungambakkam, Chennai, Tamil Nadu - 600 006
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_67_20

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How to cite this article:
Sen P, Vaidya H, Dutta Majumder P, Bawankule PK, Narnaware SH. Ischemic macular hole in central retinal artery occlusion. Indian J Ophthalmol 2020;68:1670-1

How to cite this URL:
Sen P, Vaidya H, Dutta Majumder P, Bawankule PK, Narnaware SH. Ischemic macular hole in central retinal artery occlusion. Indian J Ophthalmol [serial online] 2020 [cited 2020 Aug 11];68:1670-1. Available from: http://www.ijo.in/text.asp?2020/68/8/1670/290456



A 39-year-old male with a one-day history of sudden diminution of vision in the right eye was diagnosed with a macular hole and central retinal artery occlusion [Figure 1]a and [Figure 1]c. Three weeks later he presented with an irregular macular hole and combined vascular occlusion [Figure 1]b and [Figure 1]d. Unlike retinal vein occlusion, a macular hole is rarely reported in association with retinal artery occlusion or combined retinal vascular occlusion.[1],[2],[3] Shaggy margins, inner retinal edema with an intact posterior hyaloid are supportive of ischemic rather than a tractional theory of macular hole in our case.
Figure 1: (a and b) Color fundus photo of the right eye 1 day (a) and 20 days (b) after diminution in vision. (a) Central retinal artery occlusion with cattle trucking of vessels (black arrow) and macular hole. (b) Combined vascular occlusion with macular hole. Black arrow represents hemorrhages due to vein occlusion, white arrow shows a macular hole with ragged margins. (c and d) Spectral-domain optical coherence tomography of the right eye (1 day and 20 days after diminution of vision, respectively) showing irregular margins of macular hole, with an intact posterior hyaloid and inner retinal edema

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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.
Keorochana N, Vongkulsiri S, Choontanom R. Combined central retinal vein, central retinal artery and cilioretinal artery occlusion with ischemic macular hole secondary to severe orbital cellulitis after black fly bite. Int Med Case Rep J 2019;12:125-34.  Back to cited text no. 1
    
2.
Leibovitch I, Azmon B, Pianka P, Alster Y, Loewenstein A. Macular hole secondary to branch retinal vein occlusion diagnosed by Retinal Thickness Analyzer. Ophthalmic Surg Lasers Imaging 2003;34:53-6.  Back to cited text no. 2
    
3.
Levison AL, Schachat AP. Macular hole from a central retinal artery occlusion. JAMA Ophthalmol 2014;132:1493.  Back to cited text no. 3
    


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