Indian Journal of Ophthalmology

OPHTHALMIC IMAGE
Year
: 2018  |  Volume : 66  |  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

Correspondence Address:
Dr. Rupak Roy
Department of Vitreo Retina, Aditya Birla Sankara Nethralaya, 147, Mukundapur, E.M. Bypass, Kolkata - 700 099, West Bengal
India




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;66:1862-1863


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 2024 Mar 29 ];66:1862-1863
Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?2018/66/12/1862/245647


Full Text



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}

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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

1Ozturk 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.
2Karapetyan 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.
3Biousse 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.