Hipertensión ocular como causa de obstrucción de arteria ciliorretiniana en el paciente joven, a propósito de un caso / Ocular hypertension as a cause of cilioretinal artery obstruction in the young patient, about a case

CASO CLÍNICO: Mujer de 16 años que acude a urgencias por pérdida de la agudeza visual (AV) en el ojo izquierdo (OI) y cefalea opresiva de un día de evolución, en tratamiento con corticoide tópico por conjuntivitis vírica. La AV fue de 1,00 en el ojo derecho y 0,05 en el OI, la presión intraocular fue de 42 mmHg en ambos ojos. En el OI la funduscopía se objetivó edema isquémico retiniano en haz papilomacular, con angiografía por tomografía de coherencia óptica (OCT-A) se observó obstrucción de la arteria ciliorretiniana. El estudio sistémico fue anodino, las ecografías cardiacas y de los troncos supraaórticos fueron normales, siendo la hipertensión ocular secundaria a corticoides el único agente causal identificado. Como conclusión, ante una obstrucción de arteria ciliorretiniana debe indicarse un estudio sistémico amplio para identificar posibles fenómenos embólicos. La hipertensión ocular es una de las causas que puede ser responsable de este cuadro

CLINICAL CASE: A 16-year-old patient seen in the Emergency Department due to loss of visual acuity (VA) in the left eye (LE), and oppressive headache of 1 day onset. The patient was on treatment with topical corticosteroids for viral conjunctivitis. The VA was 1.00 in the right eye and 0.05 in LE. The intraocular pressure was 42mmHg in both eyes. In the LE, the funduscopy revealed retinal ischaemic oedema in the papillomacular bundle. The optical coherence tomography angiography (OCT-A) showed an obstruction of the cilioretinal artery. The systemic study was normal, the cardiac and supra-aortic trunks ultrasound was normal, with ocular hypertension secondary to corticosteroids being the only causative agent identified. This case shows that in the event of an obstruction of the cilioretinal artery, a systemic study should be performed in order to identify possible embolic phenomena. Ocular hypertension is one of the possible causes that may be responsible for this condition

Ocular hypertension as a cause of cilioretinal artery obstruction in the young patient, about a case. / Hipertensión ocular como causa de obstrucción de arteria ciliorretiniana en el paciente joven, a propósito de un caso.

CLINICAL CASE: A 16-year-old patient seen in the Emergency Department due to loss of visual acuity (VA) in the left eye (LE), and oppressive headache of 1 day onset. The patient was on treatment with topical corticosteroids for viral conjunctivitis. The VA was 1.00 in the right eye and 0.05 in LE. The intraocular pressure was 42mmHg in both eyes. In the LE, the funduscopy revealed retinal ischaemic oedema in the papillomacular bundle. The optical coherence tomography angiography (OCT-A) showed an obstruction of the cilioretinal artery. The systemic study was normal, the cardiac and supra-aortic trunks ultrasound was normal, with ocular hypertension secondary to corticosteroids being the only causative agent identified. This case shows that in the event of an obstruction of the cilioretinal artery, a systemic study should be performed in order to identify possible embolic phenomena. Ocular hypertension is one of the possible causes that may be responsible for this condition.