EyeRounds Online Atlas of Ophthalmology
Contributor: John J. Chen, MD, PhD, The University of Iowa
Photographer: Cindy Montague, CRA
Category: Vascular Disorders
Branch Retinal Artery Occlusion (BRAO)
31-year-old female presented with an acute onset inferonasal visual field defect in the right eye and found to have a superior branch retinal artery occlusion (Figure 1).
No emboli or Hollenhorst plaques were seen in either eye. Workup included an EKG, carotid doppler, cardiac echo, ANA, ACE, RF, CBC, PT/PTT, anticardiolipin ab, RPR, ANCA, ESR/CRP, which were all negative.
1 month later, the retinal whitening and edema resolved (Figure 2), but she still had a residual inferonasal visual field defect of the right eye (Figure 3, Goldmann Visual Field).
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