A Case of Ophthalmic Artery Occlusion in Moyamoya Disease. |
Jin Ha Kim, Jung Yeul Kim |
Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea. kimjy@cnu.ac.kr |
모야모야병(Moyamoya disease)에서 발생한 안동맥폐쇄 1예 |
김진하,김정열 |
Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea |
Correspondence:
Jin Ha Kim, M.D. |
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Abstract |
PURPOSE We report a case of ophthalmic artery occlusion at Moyamoya disease. METHOD: A 64-year-old man who had followed up neurosurgical clinic after diagnosed with Moyamoya disease ten months before presented with sudden visual loss in his right eye. Generalized ophthalmic examinations including fluorescein angiography (FA), electroretinography (ERG) were performed. RESULTS: At the first visit, corrected visual acuity was counting fingers at 30cm of right eye, 0.8 of left eye. Right eye presented relative afferent pupillary defect. Dilated fundus examination revealed a pale posterior pole and cherry-red spot at right eye. FA demonstrated choroidal filling delay and prolonged arteriovenous transit time. ERG demonstrated decreased amplitude of a and b wave. Twenty months after the initial visit, retinal arterial attenuation and a pale optic disc were revealed. |
Key Words:
Moyamoya disease;Ophthalmic artery occlusion |
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