Rev Bras Oftalmol.2021;80(6):e0054

Central retinal artery occlusion and central retinal vein occlusion in contralateral eye

Felipe Beltrão de
Medeiros ORCID logo
, Isabela Porto Silva
Costa ORCID logo
, João Pedro Vedovelli de
Araujo ORCID logo
, Jaqueline Cordeiro de
Souza ORCID logo
, Hilton Arcoverde Gonçalves de
Medeiros ORCID logo

DOI: 10.37039/1982.8551.20210054

ABSTRACT

The case of a 55-year-old male who presented central retinal vein occlusion with marked macular ischemia in left eye is reported. Despite the intervention with sustained-release dexamethasone polymer injection and other clinical measures, the visual acuity was severely reduced in left eye. After 8 months, he returned to the emergency with acute visual loss of 2 hours of progression in right eye due to a central retinal artery occlusion, sparing only the territory of the cilioretinal artery. Patient underwent clinical maneuvers with anterior chamber paracentesis and intravenous injection of tissue plasminogen activator. Fluorescein angiography immediately after the procedures showed recanalization, but despite arterial vasodilation, no complete recanalization was observed after 24 hours. The patient developed retinal atrophy.

Central retinal artery occlusion and central retinal vein occlusion in contralateral eye

Keywords: ; ; ;

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