J Korean Ophthalmol Soc.  2006 Oct;47(10):1686-1690.

Isolated Cilioretinal Artery Occlusion in Pseudoexfoliation Syndrome: A Case Report

Affiliations
  • 1Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
  • 2Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital, Seoul, Korea.
  • 3Department of Ophthalmology, Chonnam National University Medical School & Hospital, Gwangju, Korea. jkahn@jnu.ac.kr

Abstract

PURPOSE: To report a case of isolated cilioretinal artery occlusion associated with pseudoexfoliation syndrome.
METHODS
A 66-year-old female presented with acute vision loss of the right eye. Three months prior, she had been diagnosed as having pseudoexfoliation glaucoma of both eyes, and the intraocular pressure of both eyes had been well-controlled with topical medication.
RESULTS
The presenting visual acuity in her right eye was 20/100. Fundus examinations showed sectoral retinal whitening on superior macula. Fluorescein angiography revealed delayed filling of the cilioretinal artery, consistent with cilioretinal artery occlusion. No significant findings were identified by carotid doppler examination or echocardiography. After 8 weeks, retinal changes were completely resolved with improvement of her right vision to 20/25.
CONCLUSIONS
Isolated cilioretinal artery occlusion may develop as an intraocular manifestation of pseudoexfoliation syndrome.

Keyword

Cilioretinal artery occlusion; Ischemia; Pseudoexfoliation syndrome

MeSH Terms

Aged
Arteries*
Echocardiography
Exfoliation Syndrome*
Female
Fluorescein Angiography
Glaucoma
Humans
Intraocular Pressure
Ischemia
Retinaldehyde
Visual Acuity
Retinaldehyde
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