Traumatic central retinal artery occlusion with optic neuropathy: a case report
Traumatic optic neuropathy with central retinal artery occlusion is rare. We report a case of an 11 year old male patient who presented with poor vision in the left eye after blunt trauma to the forehead. The visual acuity was light perception and he had relative afferent pupillary defect. Examination and investigations revealed optic neuropathy with central retinal artery occlusion and patent cilioretinal artery. In spite of treatment with oral prednisolone for 2 weeks the visual acuity remained light perception after 3 months of follow up. The right eye
was found to be normal. Traumatic central retinal artery occlusion is rare but should be ruled out in patients with poor vision due to trauma to the head.
Key words: Traumatic optic neuropathy, Central retinal artery occlusion, Cilioretinal artery
Cugati S, Varma DD, Chen CS, Lee AW. Treatment
options for central retinal artery occlusion. Curr
Treat Options Neurol. 2013; 15(1):63–77.
Varma DD, Cugati S, Lee AW, Chen CS. A review of
central retinal artery occlusion: clinical presentation and
management. Eye [Internet]. 2013; 27(6):688–697.
Ratra D, Dhupper M. Retinal arterial occlusions in the
young: Systemic associations in Indian population.
Indian J Ophthalmol [Internet]. 2012; 60(2):95.
Greven CM. Retinal arterial occlusions in the young.
Curr Opin Ophthalmol [Internet]. 1997; 8(3):3–7.
Coban-Karatas M, Erol I, Ozkale Y, Yazici N. Central
retinal artery occlusion in a 13-year-old child as a
presenting sign of hyperhomocysteinemia together
with high lipoprotein(a) level. Pediatr Neurol. 2013;
Vianna RNG. Parafoveal arteriolar obstruction
after ocular trauma in a patient with systemic lupus
erithematosus. Int Ophthalmol. 1999; 23(2):111–114.
Cumurcu T, Doganay S, Demirel S, Cankaya C.
Traumatic optic neuropathy and central retinal artery
occlusion following blunt ocular trauma. J Clin Med
Res [Internet]. 2011; 3(1):55–7.
Sorr EM, Goldberg RE. Traumatic central retinal
artery occlusion with sickle cell trait. Am J
Ophthalmol [Internet]. 1975; 80(4):648–52.
Karna S, Jain M, Alam MS, Mukherjee B, Raman R.
Carotid cavernous fistula with central retinal artery
occlusion and Terson syndrome after mid-facial
trauma. GMS Ophthalmol Cases [Internet]. 2017; 7:
Cumurcu T. Traumatic optic neuropathy and central
retinal artery occlusion following blunt ocular
trauma. J Clin Med Res [Internet]. 2011; 3(1):55–57.
Yu-Wai-Man P. Traumatic optic neuropathy-
Clinical features and management issues. Taiwan J
Ophthalmol [Internet]. 2015; 5(1):3–8.
Levin LA, Beck RW, Joseph MP, Seiff S, Kraker
R. The treatment of traumatic optic neuropathy:
The international optic nerve trauma study.
Ophthalmology. 1999; 106(7):1268–77.
- There are currently no refbacks.