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Monitoring Dynamic Growth of Retinal Vessels in Oxygen-Induced Retinopathy Mouse Model
Published on: April 2, 2021
Idiopathic pediatric retinal artery occlusion
George J Manayath1, Parag K Shah, V Narendran
1Department of Retina, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.
Indian Journal of Ophthalmology
|March 3, 2010
Summary
Branch retinal artery occlusion (BRAO) can affect healthy children, even without underlying health issues. Prompt treatment with intravenous steroids led to significant vision improvement in a young girl.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
Background:
- Branch retinal artery occlusion (BRAO) is a rare condition, typically associated with underlying systemic or ocular risk factors.
- Its occurrence in otherwise healthy children is uncommon, prompting investigation into potential etiologies.
Observation:
- An eight-year-old girl presented with sudden, severe vision loss in her left eye.
- Ophthalmoscopic examination revealed a pale retina with macular edema, indicative of extensive BRAO.
Findings:
- Comprehensive diagnostic workup, including systemic and ocular evaluations, revealed no identifiable cause for the BRAO.
- Following immediate treatment with intravenous methylprednisolone, her visual acuity improved from finger counting to 20/40 within two weeks.
Implications:
- This case highlights that BRAO can manifest in healthy pediatric patients without detectable predisposing conditions.
- Early intervention with intravenous steroids may lead to favorable visual outcomes in pediatric BRAO.
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