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Late reperfusion with vision improvement in central retinal artery occlusion after surgical embolectomy — a case report
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Affiliations- Ophthalmology Department, Karol Jonscher Municipal Medical Center in Lodz, Poland
- Dr K Jonscher Municipal Medical Center, Lodz, Poland
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Abstract
BACKGROUND: The objective was to report a case of central retinal artery occlusion (CRAO) with late gradual improvement of visual acuity after surgical embolectomy.
CASE PRESENTATION: A 65-year-old woman with central retinal artery occlusion in the left eye for two days and visual acuity counting fingers (20/2000, logMAR 2.0). Due to a significant decrease in visual acuity and the long-term course of the disease, it was decided to perform a vitrectomy. The technique was adjusted to the location of the embolic material and the extent of retinal ischemia. The aim of the vitrectomy was evacuation of the embolus and improvement in perfusion.RESULTS: After treatment, visual acuity gradually improved. After 18 months of observation, the patient’s visual acuity was 20/63 (LogMAR 0.5).
CONCLUSION: Despite the potential risk assessment, embolectomy could be considered as a treatment option in selected cases of central retinal artery occlusion.
Abstract
BACKGROUND: The objective was to report a case of central retinal artery occlusion (CRAO) with late gradual improvement of visual acuity after surgical embolectomy.
CASE PRESENTATION: A 65-year-old woman with central retinal artery occlusion in the left eye for two days and visual acuity counting fingers (20/2000, logMAR 2.0). Due to a significant decrease in visual acuity and the long-term course of the disease, it was decided to perform a vitrectomy. The technique was adjusted to the location of the embolic material and the extent of retinal ischemia. The aim of the vitrectomy was evacuation of the embolus and improvement in perfusion.RESULTS: After treatment, visual acuity gradually improved. After 18 months of observation, the patient’s visual acuity was 20/63 (LogMAR 0.5).
CONCLUSION: Despite the potential risk assessment, embolectomy could be considered as a treatment option in selected cases of central retinal artery occlusion.
Keywords
central retinal artery occlusion; CRAO; surgical embolectomy; vitrectomy
About this articleTitle
Late reperfusion with vision improvement in central retinal artery occlusion after surgical embolectomy — a case report
Journal
Issue
Vol 8 (2023): Continuous Publishing
Article type
Case report
Pages
94-97
Published online
2023-11-16
Page views
309
Article views/downloads
130
DOI
Bibliographic record
Ophthalmol J 2023;8:94-97.
Keywords
central retinal artery occlusion
CRAO
surgical embolectomy
vitrectomy
Authors
Sławomir Cisiecki
Karolina Bonińska
Katarzyna Kozłowska
Maciej Bednarski
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