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Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli
Published on: September 25, 2016
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Imaging of a cilioretinal artery embolisation
Marion R Munk1, Rukhsana G Mirza2, Lee M Jampol3
1Department of Ophthalmology, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA. marion.munk@northwestern.edu.
International Journal of Molecular Sciences
|September 6, 2014
Summary
Retinal artery occlusion may signal serious cardiovascular issues. This case highlights how retinal imaging identified emboli, leading to the discovery of carotid disease and successful treatment.
Area of Science:
- Ophthalmology
- Cardiology
- Vascular Surgery
Background:
- Retinal artery occlusion is a critical sign of underlying cardiovascular disease.
- Early diagnosis and intervention are essential to prevent vision loss and systemic complications.
Observation:
- A 69-year-old male presented with cilioretinal artery occlusion and retinal ischemia.
- Fundus autofluorescence revealed an intraluminal hyperautofluorescent lesion.
Findings:
- The lesion was diagnosed as retinal emboli.
- Severe, previously undiagnosed carotid occlusive disease was subsequently identified.
Implications:
- This case underscores the importance of comprehensive vascular evaluation in patients with retinal artery occlusion.
- Prompt surgical intervention, such as endarterectomy, can be life-saving and preserve vision.
