| Branch retinal artery embolization due to calcific aortic valve stenosis. | |
| | |
MedLine Citation:
|
PMID: 20099234 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: Branch retinal artery occlusion caused by calcific embolization secondary to calcific aortic valvulopathy. METHODS: A 45-year-old woman came to our attention complaining a sudden painless loss of her peripheral superior visual field. Best visual acuity was 20/20. Fundus examination revealed the presence of a retinal arterial embolic occlusion of the inferior branch. Fundus retinography, visual field, and fluorescein angiography were performed and medical therapy was started. The echocardiography examination revealed a tricuspid and calcified aortic valve with moderate stenosis and regurgitation. Due to the heart pathology, the patient moved to the cardiosurgery department, where an aortic valve replacement was performed. RESULTS: Four months after cardiac surgery, visual acuity of both eyes was stable (20/20). Fundus examination showed a complete reabsorption of the retinal edema and the resolution of retinal pallor. Fluorescein angiography confirmed the delay of the arterial filling. No retinal ischemia was observed. The visual field examination confirmed the deep scotoma previously registered. CONCLUSIONS: Retinal arterial embolization is a rare but potentially devastating complication of calcific aortic stenosis. Initial retinal presentation of calcific aortic stenosis is a rare condition. Keeping in mind that these emboli may be recurrent and potentially bilateral, a sudden onset of visual field defects, especially in young asymptomatic patients, needs immediate diagnosis and consideration of an urgent surgical correction. |
| | |
Authors:
|
Giuseppe Mannino; Mary Romano; Matilde Calanchini; Cristina Mannino; Nikhil Carlo Cascone |
Related Documents
:
|
1698304 - Combined branch retinal artery and central retinal vein obstruction. 7661214 - Branch retinal artery occlusion associated with directional coronary atherectomy after ... 16565364 - Asymmetry of retinal arteriolar branch widths at junctions affects ability of formulae ... 2456094 - Origin of disc new vessels assessed by videofluorography. 8937734 - Coronary artery constriction by the isoprostane 8-epi prostaglandin f2 alpha. 6847294 - Unusual complication of porcine heterograft. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: European journal of ophthalmology Volume: 20 ISSN: 1120-6721 ISO Abbreviation: Eur J Ophthalmol Publication Date: 2010 May-Jun |
Date Detail:
|
Created Date: 2010-04-21 Completed Date: 2010-06-03 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9110772 Medline TA: Eur J Ophthalmol Country: Italy |
Other Details:
|
Languages: eng Pagination: 625-8 Citation Subset: IM |
Affiliation:
|
Department of Ophthalmology, University of Rome Sapienza, 2nd Faculty of Medicine, Rome - Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aortic Valve Stenosis
/
complications*,
surgery,
ultrasonography Calcinosis / complications*, surgery, ultrasonography Echocardiography Echocardiography, Doppler Embolism / etiology*, surgery, ultrasonography Female Fluorescein Angiography Humans Middle Aged Perimetry Retinal Artery Occlusion / diagnosis, etiology* Vision Disorders / etiology Visual Fields |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cogan syndrome: confocal microscopy assessment of corneal damage.
Next Document: Comparing the measurement of diurnal fluctuations in intraocular pressure in the same day versus ove...