Publication: Branch Retinal Arterial Occlusion
Date
2010
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Retinal arterial occlusion is an ocular emergency in which visual prognosis is poor mostly
due to late presentation of the patient and macular involvement. The casee described,
in this report is ane incidence of Branch Retinal Arterial Occlusion in a 22 year old
female with grade II Mitral Regurgitation. The patiente presented witha complaint of
painless, diminution of vision in the right eyn. She alsod presented with perception of
black shadow in the superior visual fiel n of the same eye5 for five days. There was no
significant systemic ord personal history. Her visual acuity at presentation was 6/60
and 6/6 in the right and left eyes,y which did not improve with glasses or pin-hole.
Anterior segment including papillary reaction was normal in both eyes while Fundus
examination of the right eye revealed retinal whitening inside the inferotemporal
vascular arcade that was encroaching foveolar avascular zone. Visual field defect
was detected at superonasally inside arhade but Fundus Fluorescence Angiography
was normal. An echoycardiograph revealed grade II Mitral Regurgitation. The patient
was kept on observation and after two2 days of follow-up, vision in the right eye was
improved to 6/6 unaided but visual field defect was remained same.
Key Words
branch retinal arterial occlusion, cardio valvular disease, visual field defect.
Description
Subedi S1, Shrestha C2
1,2 Department of Opthalmology NAMS, Nepal Eye Hospital, Nepal