Isolated Cilioretinal Artery Occlusion in Pseudoexfoliation Syndrome: A Case Report.

Lee, Min Joung; Park, Yeoung Geol; Ahn, Jae Kyoun

Case Report

Journal of the Korean Ophthalmological Society 2006;47(10):1686-1690.
Published online October 31, 2006.

Isolated Cilioretinal Artery Occlusion in Pseudoexfoliation Syndrome: A Case Report.

Min Joung Lee, Yeoung Geol Park, Jae Kyoun Ahn

¹Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
²Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital, Seoul, Korea.
³Department of Ophthalmology, Chonnam National University Medical School & Hospital, Gwangju, Korea. jkahn@jnu.ac.kr

거짓비늘증후군에 동반된 단독 섬모체망막동맥폐쇄 1예

이민정^1,2,박영걸³,안재균³

Department of Ophthalmology, Seoul National University College of Medicine¹, Seoul, Korea Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital², Seoul, Korea Department of Ophthalmology, Chonnam National University Medical School & Hospital³, Gwangju, Korea

Correspondence: Min Joung Lee, M.D.^1,2

Abstract

PURPOSE
To report a case of isolated cilioretinal artery occlusion associated with pseudoexfoliation syndrome. METHODS: A 66-year-old female presented with acute vision loss of the right eye. Three months prior, she had been diagnosed as having pseudoexfoliation glaucoma of both eyes, and the intraocular pressure of both eyes had been well-controlled with topical medication. RESULTS: The presenting visual acuity in her right eye was 20/100. Fundus examinations showed sectoral retinal whitening on superior macula. Fluorescein angiography revealed delayed filling of the cilioretinal artery, consistent with cilioretinal artery occlusion. No significant findings were identified by carotid doppler examination or echocardiography. After 8 weeks, retinal changes were completely resolved with improvement of her right vision to 20/25. CONCLUSIONS: Isolated cilioretinal artery occlusion may develop as an intraocular manifestation of pseudoexfoliation syndrome.

Key Words: Cilioretinal artery occlusion;Ischemia;Pseudoexfoliation syndrome