Retinal and choroidal changes in a case of incomplete central retinal artery occlusion associated with short posterior ciliary artery occlusion

Shinji Makino

Volume : VI, Issue : IV, April - 2017

Retinal and choroidal changes in a case of incomplete central retinal artery occlusion associated with short posterior ciliary artery occlusion

Shinji Makino

Abstract :

We evaluated retinal and choroidal changes in a case of incomplete central retinal artery occlusion (CRAO) associated with short posterior ciliary artery (SPCA) occlusion. Fundus examination showed multiple soft exudates around the optic disc and retinal edema in his right eye. Fluorescein angiography revealed delayed dye inflow into the nasal choroidal hemisphere that is supplied by the SPCA. At the initial visit, optical coherence tomography (OCT) image of affected eye showed increased reflectivity and thickness of the inner retina, as compared with the contralateral eye. In addition, choroidal thickness of affected eye was thicker than that of contralateral eye. During follow–up period, OCT image of affected eye showed decreased reflectivity and thickness of the inner retina. Choroidal thickness of affected eye was also gradually reduced, as compared with the initial visit. In conclusion, the present study identified morphologic changes of the retina and choroid in eyes with incomplete CRAO.