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A case of idiopathic branch retinal arterial occlusion Kiwako Mori 1 , Teruyoshi Miyahara 1 , Kouichi Ohta 1 , Toshinori Murata 1 1Dept of Ophthalmol, Shinshu Univ Sch of Med pp.563-566
Published Date 2008/4/15
DOI https://doi.org/10.11477/mf.1410102209
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Abstract. Purpose:To report a juvenile case of bilateral branch retinal artery occlusion. Case:A 27-year-old male presented with acute visual field defect in the right eye since a few hours before. His corrected visual acuity was 1.2 right and 1.5 left. The right eye showed occlusion of superonasal retinal artery. A similar lesion was present in the left eye. The findings were suggestive of branch retinal artery occlusion secondary to retinal arteritis. Systemic examinations, including hematology, electrocardiogram, magnetic resonance imaging(MRI), and cerebral angiography, showed unremarkable findings. No recanalization of retinal artery occlusion occurred after systemic urokinase and hyperbaric oxygen therapy. Peroral prednisolone and aspirin was followed by improved visual field defect and no further progression of retinal artery occlusion. Visual field defect and retinal artery occlusion exacerbated after tapering of prednisolone. Pulsed corticosteroid therapy was followed by stabilization of visual field defect for 18 months until present. Conclusion:Bilateral branch retinal artery occlusion in the present case was idiopathic, unresponsive to systemic anticoagulant or corticosteroid, and failed to improve after pulsed corticosteroid therapy.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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