PMC6369457_01
Color fundus photograph of the right eye at initial presentation where BCVA was 20/20 (a) demonstrating the site of occlusion with the emboli situated in a branch of the central retinal artery on the optic disc. Inferior retinal whitening was visible. Red free (b) photograph of the right eye at initial presentation. Fluorescein angiography at 37 seconds (c) showing delayed arterial filling along the inferior retinal vascular arcade. Fluorescein angiography at 2 minutes and 55 seconds (d) showing mild hyperfluroescence along the vessels emanating from the inferior optic nerve.
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Dilated funduscopic examination in the right eye revealed retinal emboli inferior to the optic disc obstructing a small arteriole associated with retinal ischemia (Figures 1(a) and 1(b)). Fluorescein angiography revealed delayed retinal perfusion along the inferior arcade in the right eye (Figures 1(c) and 1(d)).
Optical coherence tomography showing acute inner retinal thickening and hyperreflectivity at the patient's initial presentation (a). Optical coherence tomography showing very mild thinning and atrophy of the inner retinal layers two and a half months (b) and six months after her initial presentation (c).
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Optical coherence tomography showed normal foveal contour with inner retinal ischemia and thickening, consistent with an acute inferotemporal branch retinal artery occlusion (Figure 2(a)). Her OCT showed inner retinal atrophy (Figures 2(b) and 2(c)).
Optical coherence tomography showing inner retinal thickening and hyperreflectivity at the time of acute vision loss, a year and a half following her initial presentation where BCVA was CF (a). Optical coherence tomography imaging showing thinning and atrophy of the inner retina at six months (b) and one year after her acute vision loss secondary to BRAO (c).
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OCT demonstrated thickening and hyperreflectivity of the inner retinal layers consistent with an acute BRAO OD (Figure 3(a)). Postoperatively, retinal whitening resolved and reduced intraretinal edema was noticed (Figure 3(b)). The retinal swelling had resolved (Figure 3(c)).