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Retinal Vascular Reactivity as Assessed by Optical Coherence Tomography Angiography
Published on: March 26, 2020
Congenital retinal macrovessel: atypical presentation using optical coherence tomography.
Osman M Ceylan1, Gulay Gullulu, Tugrul Akin
1Deparment of Ophthalmology, Maresal Cakmak Military Hospital, Goz Servisi, 25100, Erzurum, Turkey. drmelihceylan@hotmail.com
International Ophthalmology
|October 6, 2010
Summary
A rare congenital retinal macrovessel caused decreased vision due to macular thickening. This case highlights the importance of investigating vision changes associated with aberrant retinal vasculature.
Area of Science:
- Ophthalmology
- Retinal Vascular Diseases
Background:
- Congenital retinal macrovessels are rare vascular anomalies.
- Macular thickening can lead to visual impairment.
Observation:
- A 23-year-old male presented with decreased visual acuity in his right eye.
- Fundus examination revealed a congenital retinal macrovessel.
- Fluorescein angiography showed abnormal filling and emptying patterns.
- Optical coherence tomography confirmed macular thickening.
Findings:
- The congenital retinal macrovessel was associated with significant macular thickening.
- A relative visual field defect (scotoma) correlated with the macular thickening.
- Visual acuity remained stable over an 18-month follow-up period.
Implications:
- Congenital retinal macrovessels, though rare, can cause decreased visual acuity.
- Macular thickening is a key factor in vision loss associated with this condition.
- Early diagnosis and monitoring are crucial for managing patients with retinal macrovessels.
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