Transient branch retinal artery occlusion in a 15-year-old girl and review of the literature

Abstract

Background. Retinal artery occlusion is an extremely rare diagnosis in the pediatric population and the etiology with risk factors of retinal artery occlusion are poorly understood in younger individuals. Methods and Results. This case report a rare case of transient branch retinal artery occlusion (BRAO) in a healthy young girl. A fifteen-year-old girl presented with painless decreased vision in her right eye. Fundus examination revealed in the right eye intensive edema of the part of superior half of the retina, but the vessels were absolutely normal. She was hospitalized for diagnosis and treatment. A thorough workup was performed to determine any etiologic factor. Her physical examination was normal, but from anamnesis has been found that patient began use oral contraception at the time of occurrence eye problems. The condition is evaluated as transient branch retinal artery occlusion by the course of the disease. The paper includes the review of the literature also. Conclusion. Though retinal arterial obstruction is rare in the pediatric population, this case highlights the importance of including this in the differential diagnosis of acute vision loss.

Retinale Gefäßverschlüsse als Ausdruck eines generalisierten Gefäßleidens

“…Ein wichtiger Hinweis auf eine Riesenzellarteriitis ist eine Aderhautischämie in der FAG, auf die gesondert geachtet werden sollte. Ein RAV kann auch durch andere hämatologische, immunologische oder infektiöse Erkrankungen ausgelöst werden (Tabelle 1) [8, [22][23][24]. Je jünger Patienten einen RAV erleiden, desto umfangreicher muss die Ursachensuche sein.…”

“…Ein RAV kann auch durch andere hämatologische, immunologische oder infektiöse Erkrankungen ausgelöst werden ( Tab. 1 ) 8 , 22 23 24 . Je jünger Patienten einen RAV erleiden, desto umfangreicher muss die Ursachensuche sein.…”

Retinal Vein Occlusion Treated with QIAPI 1™: Report of a Case

“…the pediatric population and the etiology with risk factors of retinal artery occlusion are poorly understood in younger individuals [11]. Apart from the retinal whitening, hemorrhages, exudates and box-carrying of the retinal arteries, there were characteristic triangular patches of retinal whitening in the midperipheral temporal fundus indicating a previous lateral posterior choroidal artery occlusion (Amalric sign) [12].…”

Delayed Vision Recovery after Carotid Vascular Surgery for Branch Retinal Artery Occlusion

“…Branch retinal artery occlusion (BRAO) accounts for 38% of acute retinal artery obstruction cases [1]. In BRAO, obstruction of blood flow in the distribution of a branch of the central retinal artery leads to ischemia and reorganization of the retinal layers [2]. Concurrent or sequential cardiovascular events such as stroke or acute myocardial infarct can occur, and thus urgent systemic cardiovascular workup is often warranted [3].…”