Bilateral Central Retinal Artery Occlusion in a Patient With Acute Pancreatitis

Timoney, Peter J.; Pate, James C.; Pearson, P. Andrew; Crandall, James

doi:10.1097/icb.0b013e31818c5de0

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…In contrast, Xiao et al found more patients with abnormalities on carotid ultrasound, 89% as against 32% with abnormalities on echocardiography [19]. Acute pancreatitis which was seen in one patient in this study has been associated with bilateral RAO [20]. It is postulated that arterial occlusion occurs as a result of complement activation with subsequent leukoembolization [20].…”

Section: Discussioncontrasting

confidence: 65%

“…Acute pancreatitis which was seen in one patient in this study has been associated with bilateral RAO [20]. It is postulated that arterial occlusion occurs as a result of complement activation with subsequent leukoembolization [20]. Aggressive management of modi able risk factors is essential in preventing a repeat arterial occlusion in the fellow eye following a unilateral RAO as well as other life threatening vascular events.…”

Section: Discussionmentioning

confidence: 59%

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Bilateral Retinal Artery Occlusion; A Retrospective Analysis of Clinical Presentation and Management

Kumar

Adenuga

Chhablani

et al. 2021

Preprint

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Purpose; Retinal artery occlusion (RAO) is an ophthalmologic emergency and involvement of both eyes is rare. The aim of this study was to determine the pattern of presentation of bilateral RAO in south India and the associated systemic disorders.Methods; A retrospective review of the medical records of patients with bilateral RAO seen at a tertiary eye hospital in south India over a period of eight years was carried out. The patients’ demographic and clinical data were extracted from the case files, and analysed using Epi Info statistical software.Results; Six hundred and seventy-four eyes of 662 patients were seen with RAO during the period of the study with 12 (1.8%) patients having bilateral involvement. The mean age of the patients was 58.3 years and males comprised 66.7%. There were 22 (91.7%) eyes with CRAO, and two (8.4%) with branch RAO. Three (25%) patients had simultaneous RAO. The median interval for involvement of the fellow eye was 90 days. Hypertension and diabetes were the most common associated systemic disorders.Conclusion; Bilateral RAO is very rare and usually nonsimultaneous. Patients need to be aware of the possibility of involvement of the fellow eye after a unilateral RAO, and the importance of seeking medical care promptly if this occurs.

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Section: Discussioncontrasting

confidence: 65%

Section: Discussionmentioning

confidence: 59%

Bilateral Retinal Artery Occlusion; A Retrospective Analysis of Clinical Presentation and Management

Kumar

Adenuga

Chhablani

et al. 2021

Preprint

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“…There are a number of ways in which the retinal arteries can become blocked; the most common is by an embolus. Alternatively, there may be a sudden narrowing of the vessels due to atherosclerotic changes, vasculitis, vascular spasm, circulatory collapse, dissecting aneurysm, and hypertensive arterial necrosis [ 1 ]. Early recognition and treatment may preserve eye function.…”

Section: Introductionmentioning

confidence: 99%

“…WG is a rare, chronic multisystemic disease, with an annual incidence of ten cases per million population [ 4 , 5 ]. More common in Caucasians with a peak incidence in the fifth decade of life [ 6 ], WG has a predilection for affecting the upper and lower respiratory tracts and kidneys [ 1 , 7 ] and the eyes; central nervous system can also be affected [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Central retinal artery occlusion in Wegener's granulomatosis: a diagnostic dilemma

Lozano-López

Rodríguez-Lozano

Losada-Castillo

et al. 2011

J Ophthal Inflamm Infect

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PurposeTo report a case of central retinal artery occlusion (CRAO) in a patient with biopsy-verified Wegener's granulomatosis (WG) with positive C-ANCA.MethodsA 55-year-old woman presented with a 3-day history of acute painless bilateral loss of vision; she also complained of fever and weight loss. Examination showed a CRAO in the left eye and angiographically documented choroidal ischemia in both eyes.ResultsThe possibility of systemic vasculitis was not kept in mind until further studies were carried out; methylprednisolone pulse therapy was then started. Renal biopsy disclosed focal and segmental necrotizing vasculitis of the medium-sized arteries, supporting the diagnosis of WG, and cyclophosphamide pulse therapy was administered with gradual improvement, but there was no visual recovery.ConclusionCRAO as presenting manifestation of WG, in the context of retinal vasculitis, is very uncommon, but we should be aware of WG in the etiology of CRAO. This report shows the difficulty of diagnosing Wegener's granulomatosis; it requires a high index of suspicion, and we should obtain an accurate medical history and repeat serological and histopathological examinations. It emphasizes that inflammation of arteries leads to irreversible retinal infarction, and visual loss may occur

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Subclinical inner retinal layer thickness changes in the fellow eyes of patients with unilateral central retinal artery occlusion: a pilot study

Mirza

Oltulu

et al. 2020

Int Ophthalmol

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Bilateral Central Retinal Artery Occlusion in a Patient With Acute Pancreatitis

Abstract: It is postulated that the resultant complement activation with subsequent leukoembolization along with the combined effect of other variables led to microvascular damage resulting in bilateral central retinal artery occlusion.

Cited by 4 publications

References 3 publications

Bilateral Retinal Artery Occlusion; A Retrospective Analysis of Clinical Presentation and Management

Bilateral Retinal Artery Occlusion; A Retrospective Analysis of Clinical Presentation and Management

Central retinal artery occlusion in Wegener's granulomatosis: a diagnostic dilemma

Subclinical inner retinal layer thickness changes in the fellow eyes of patients with unilateral central retinal artery occlusion: a pilot study

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