Branch Retinal Artery Occlusion (BRAO)
Photographer: Antoinette Venckus
Posted January 30, 2020
Contributor: John J. Chen, MD, PhD, The University of Iowa
Photographer: Cindy Montague, CRA
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).
Contributor: Andrew Doan, MD, PhD, University of Iowa
Submitted June 2004
Arrow denotes emboli in inferior arteriole.
Contributor: Armand P. Fasano, MD, New Jersey, Private Practice
Revised Feb 2008
Here, multiple yellowish refractile bodies can be seen scattered throughout the arteriols in the superior arcuate region.
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Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.