Central Retinal Artery Occlusion after Trauma: Report of Two Cases.

Koh, Joong Sik; Woo, Se Joon

doi:2016.57.2.324

J Korean Ophthalmol Soc > Volume 57(2); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(2):324-329.
DOI: https://doi.org/10.3341/jkos.2016.57.2.324 Published online February 1, 2016.

Central Retinal Artery Occlusion after Trauma: Report of Two Cases.

Joong Sik Koh, Se Joon Woo

¹Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
²Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. sejoon1@snu.ac.kr

외상에 의한 망막중심동맥폐쇄 2예

고중식¹⋅우세준²

서울대학교 의과대학 서울대학교병원 안과학교실¹, 서울대학교 의과대학 분당서울대학교병원 안과학교실²

Abstract

PURPOSE
To report two patients who developed central retinal artery occlusion (CRAO) after trauma. CASE SUMMARY: A 26-year-old man complained of severe loss of vision in his left eye after falling and bumping his forehead on a staircase. His visual acuity was light perception in the left eye. Fundus examination revealed edematous white retina and a cherry red spot on the macula. Angiography showed severe stenosis in the initial segment of the ophthalmic artery with ophthalmic arterial embolus. He underwent intra-arterial thrombolysis with a clinical diagnosis of CRAO with ophthalmic artery stenosis. A 57-year-old woman presented with vision loss after falling and striking her face below her right lower eyelid on a wooden stick. Her visual acuity was hand motions in the right eye. Fundus examinations showed white retina with opacity and a cherry red spot on the macula. Fluorescein angiography and optical coherence tomography was performed, and a clinical diagnosis of CRAO was made. CONCLUSIONS: CRAO must be considered when clinically differentiating visual loss after a trauma.

Key Words: Central retinal artery occlusion;Intra-arterial thrombolysis;Trauma