Migration of segmental arteriolar fluorescein staining peripherally in eye with idiopathic recurrent branch retinal arterial occlusion

Abstract

PurposeTo report a novel finding in a case of idiopathic recurrent branch retinal arterial occlusions.ObservationsWe report our findings in a 31-year-old woman with an idiopathic recurrent branch retinal arterial occlusions (BRAOs) who was followed in our clinic for 16 years. Repeated fluorescein angiographies were performed to evaluate the idiopathic recurrent BRAOs. The findings showed multiple segmental arteriolar staining in the fundus. These staining were found at locations with and without branch retinal arterial occlusions. Repeated fluorescein angiography showed that these staining migrated toward the periphery. The speed of the migration of the staining was about 0.64 ± 0.22 mm/day with a range of 0.43–0.85 mm/day in the posterior pole of the eye. In each of the BRAO, the staining did not cause branch retinal arterial occlusions in the peripheral retina again.Conclusions and importanceSegmental arteriolar staining that migrates towards the periphery may be a clue to the etiology of this disease process.

MultiColor imaging in urticarial vasculitis with recurrent branch retinal artery occlusion in a case with positive toxoplasma IgG and interferon-gamma release assay - Case report

“…In idiopathic recurrent BRAO, there is recurrent multifocal BRAOs of unknown etiology and no medical therapy has been shown to be definitively beneficial. 1 , 9 It can develop unilaterally or bilaterally in otherwise healthy individuals who might have encephalopathy, hearing loss, or migraine. 1 , 2 , 4 The syndrome consists of multifocal arterial and arteriolar occlusions.…”

“… 1 , 9 It can develop unilaterally or bilaterally in otherwise healthy individuals who might have encephalopathy, hearing loss, or migraine. 1 , 2 , 4 The syndrome consists of multifocal arterial and arteriolar occlusions. Migraine may cause or promote BRAO.…”

“…Recurrent branch retinal artery occlusion (BRAO) is a rare retinal disease that usually occurs in young patients and is characterized as repeated retinal artery occlusion (RAO) in different focal areas. 1 , 2 Unlike permanent BRAO or transient amaurosis fugax, 3 the causes of idiopathic BRAO is unclear. It sometimes happens bilaterally and may accompany with vestibuloauditory or sensorimotor symptoms.…”

“…It sometimes happens bilaterally and may accompany with vestibuloauditory or sensorimotor symptoms. 1 , 2 , 4 The visual prognosis is relatively good. Urticaria with recurrent BRAO is an uncommon syndrome characterized by migraine headaches, tinnitus, vertigo, hearing loss, and recurrent BRAO of unknown etiology.…”