Successful Endovascular Thrombectomy in a Patient with Monocular Blindness Due to Thrombus of the Ophthalmic Artery Orifice
Journal of Neurocritical Care
; (2): 58-62, 2018.
Article
en Ko
| WPRIM
| ID: wpr-765893
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: Retinal artery occlusion can lead to sudden visual loss without pain. The acute management of retinal artery occlusion remains unresolved. CASE REPORT: A 65-year-old male was hospitalized to an emergency room for visual loss on the left side within 6 hours of onset. Combined occlusion at retinal artery and ciliary artery was confirmed by an ophthalmologist and we assessed ophthalmic artery occlusion. However, MRA revealed no significant steno-occlusion of internal carotid artery. Transfemoral cerebral angiography was carried out immediately and showed a movable thrombus at the orifice of the ophthalmic artery. We decided on endovascular thrombectomy to prevent permanent visual loss. Finally, his visual acuity was improved after successful thrombectomy. CONCLUSIONS: Although MRA is intact, small thrombus right at the orifice of the ophthalmic artery can cause a sudden monocular visual loss due to occlusion of the retinal artery. In this setting, urgent endovascular thrombectomy can offer visual improvement.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Arteria Oftálmica
/
Arteria Retiniana
/
Trombosis
/
Angiografía Cerebral
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Oclusión de la Arteria Retiniana
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Arteria Carótida Interna
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Agudeza Visual
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Ceguera
/
Trombectomía
/
Arterias Ciliares
Límite:
Aged
/
Humans
/
Male
Idioma:
Ko
Revista:
Journal of Neurocritical Care
Año:
2018
Tipo del documento:
Article