Traumatic central retinal artery occlusion with optic neuropathy: a case report

Sonjoy KD, Situma PW, Kareko CW

Abstract


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


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References


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;

(2):138–140.

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:

Doc12.

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.


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