Most viewed - Central Retinal Artery Occlusion
|
Central Retinal Artery Occlusion - 2 months old by history1833 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.
IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO
DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.
At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
|
|
Central Retinal Artery Occlusion1774 views60 year old male with LP vision due to extensive blood flow loss.
|
|
Retinal Artery Occlusion1706 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
|
|
Central Retinal Artery Occlusion - 2 months old by history1606 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.
IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO
DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.
At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - SD-OCT Line Scan Inner retinal edema1532 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute1218 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Retinal Artery Occlusion1197 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - SD-OCT Line Scan Inner retinal edema1181 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Central Retinal Artery Occlusion1105 viewsCentral Retinal Artery Occlusion with cilio artery perfusion.
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception1103 views
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA1047 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Central Arterial Occlusion with Embolism Present1045 viewsPatient comes in with CRAO in the right eye. VA was hand motion. Fundus photo shows white veil over the retina with 2-emboli in a branch artery temporal in the right eye. She will be evaluated for emboli and followed up in a month
|
|
Retinal Artery Occlusion1033 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - Line scan good eye993 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA966 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception939 views
|
|
Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy - Macular Pucker931 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute923 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA921 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA917 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy - Macular Pucker905 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
|
|
Central Retinal Artery Occlusion - 2 months old by history876 views77-year-old man was doing fine. His left eye was a little worse than the right eye, and then in the 2 months ago he had sudden severe vision loss in the right eye. Vision OD is 3/200; OS is 20/60. IOP: OD 30, OS 15.
OD: Vertical C/D ratio is 0.4. The macula is white from ischemia. The arteries are narrow.
Photos confirm clinical findings.
OCT SCAN: OCT scan of the right eye shows retinal thickening, consistent with macular edema associated with a central retinal artery occlusion. The left eye has severe inferior retinal thinning, consistent with an old hemicentral retinal artery occlusion in the left eye. The fovea in the left eye is a little bit thin but not too bad.
IMPRESSION: 1. CENTRAL RETINAL ARTERY OCCLUSION RIGHT EYE
2 OLD HEMICENTRAL RETINAL ARTERY OCCLUSION LEFT EYE
3 DIABETES WITHOUT RETINOPATHY
4 ELEVATED INTRAOCULAR PRESSURE RIGHT EYE STATUS POST INJECTION RIGHT EYE A WEEK AGO
DISCUSSION: I explained to the patient that the right eye unfortunately has had a central retinal artery and unfortunately we do not have anything to treat that. His vision will probably improve some over time. He needs to be watched though. It is possible he is developing rubeotic glaucoma, although it is probable the intraocular pressure is high from the injection last week. I asked him to restart the Alphagan, to stop the other two drops, and to return here in three weeks to make sure his pressure is more acceptable.
At this point, having lost almost all the retinal circulation in the right eye and half of the retinal circulation in the left eye, he only has half a retina in the left eye he is working off of. I told him it is very important he keep seeing you and anything that can be done to keep his blood pressure low and his cholesterol reasonable would be helpful to what remains of his retinal circulation.
|
|
Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy872 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
|
|
Embolic CRAO color846 views
|
|
845 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception843 views
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA840 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
FA: CRAO838 viewsCRAO with cilio artery perfusion
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute - FA Very Slow Filling CRA821 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion816 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion810 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion792 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion788 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
781 views
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute781 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Pathology - Central Retinal Artery Occlusion - 6 weeks old - Inner Retinal Atrophy778 viewspatient died about 6 to 8 weeks after the artery occlusion, and he had no history of glaucoma. The inner retina atrophy, which looks very similar to that caused by COAG, is due to recent infarct.
|
|
Central Retinal Artery Occlusion - MAP764 viewsProgression from acute to atrophy - decreasing retinal thickenss
|
|
752 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception734 views
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion733 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Montage of Hemi-Central Retinal Artery Occlusion728 views
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion703 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion702 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Montage of Hemi-Central Retinal Artery Occlusion701 views
|
|
698 views60 year old male with LP vision due to extensive blood flow loss.
|
|
Central Retinal Artery Occlusion with Cilioretinal Sparing - Acute696 views 77-year-old man was doing fine until midnight of last night when he noticed sudden severe vision loss in the left eye. VISUAL ACUITY: OD 20/20, OS 2/200.
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception693 views
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion690 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception671 views
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion669 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
660 views
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion657 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion649 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion647 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion642 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot623 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
|
|
Embolic CRAO Early619 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception615 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception614 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception609 views
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion597 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Retinal Artery Occlusion594 viewsPatient comes in for eval on artery occlusions in both eyes. VA is 20/400, right eye and NLP, left eye. Fundus photos show paniretinal scars in the right eye with arterial narrowing and the left eye has arterial narrowing as well.
|
|
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.593 views
|
|
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.592 views
|
|
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.589 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception588 views
|
|
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.582 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception577 views
|
|
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot575 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception571 views
|
|
Central Retinal Artery Occlusion then Neovascular Glaucoma571 views81 year old male with sudden vision loss. 2 months later developed NVG
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception568 views
|
|
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot565 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
|
|
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.561 views
|
|
Embolic CRAO Mid560 views
|
|
Central Retinal Artery Occlusion Left Eye 2 Weeks Old - Still Non-Perfusion558 views85-year-old woman who had sudden severevision loss in the left eye two weeks ago. she can see a little more centrally and much more in the periphery, since about the last four days.
VISUAL ACUITY: OD 20/30, OS: Hand motion
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception557 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception556 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception556 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception554 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception553 views
|
|
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot552 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
|
|
Central Retinal Artery Occlusion then Neovascular Glaucoma550 views81 year old male with sudden vision loss. 2 months later developed NVG
|
|
540 views
|
|
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot540 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception538 views
|
|
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.537 views
|
|
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot532 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
|
|
Central Retinal Artery Occlusion - Diabetic Retinopathy - NO cherry red spot529 views58 year old man with sudden vision loss in the right eye. The vision had been 20/40 and dropped to 20/200 the day prior to presentation.
VA 20/200 OD, 20/20 OS
FA shows CRAO. No cherry red spot.
|
|
Embolic CRAO B&W528 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception523 views
|
|
80 Year old man with 3 day history of vision loss right eye. Vision 4/200.523 views
|
|
521 views
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception515 views
|
|
Central Retinal Artery Occlusion then Neovascular Glaucoma514 views81 year old male with sudden vision loss. 2 months later developed NVG
|
|
Embolic CRAO Late510 views
|
|
Acute Central Retinal Artery Occlusion510 views1 day of vision loss 79 year old man to HM. NVG developed 2 months later.
|
|
Central Retinal Artery Occlusion less than 24 hours - 69 year old man VA light perception507 views
|
|
Central Retinal Artery Occlusion then Neovascular Glaucoma505 views81 year old male with sudden vision loss. 2 months later developed NVG
|
|
Acute Central Retinal Artery Occlusion503 views1 day of vision loss 79 year old man to HM. NVG developed 2 months later.
|
|
|
|
