Document Detail


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
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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.
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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


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