[Inferior temporal branch arterial occlusion--acute form]

The authors present the case of a female patient, 72 years old, smoker for 50 years, with a complex pathology--cardiovascular (coronary artery disease with heart failure, hypercoagulable state and 40% left carotid artery stenosis) and breast carcinoma--surgically treated, who was admitted in the Ophthalmology Clinic of the Emergency Central Military Hospital Bucharest, with the diagnosis of Left Eye Branch Retinal Artery Occlusion (temporal inferior) acute form--which occurred 10 days ago. The reason of the hospital admission was left eye visual field deficit--horizontal (altitudinal), in the superior 1/2 of the visual field, but not accompanied by the left eye visual acuity decrease (left eye best-corrected visual acuity was 20/20--due to the particularity of the case by the existence of 2 cilio-retinal arteries at the left eye). Complete ocular and systemic work-up was performed. It was decided that at this stage from the beginning of the Branch Retinal Artery Occlusion, can be tempted trans-luminal photo-embolysis of the embolus located at the origin of the temporal inferior branch of the Central Retinal Artery with the Nd: YAG laser--technique which was used as national premiere in Romania.