| Title |
Intraretinal gray lesions as a sign of reversible visual loss following prolonged ophthalmic artery hypoperfusion. |
| Creator |
Cherny, M.; O'Day, J.; Currie, J. |
| Affiliation |
Department of Neuro-ophthalmology, St. Vincent's Hospital, Fitzroy, Australia. |
| Abstract |
A 49-year-old woman developed severe unilateral visual loss following carotid artery ligation for a carotid-cavernous fistula. The pathophysiology was presumed to be an ophthalmic artery steal caused by the fistula. This was confirmed when visual acuity was restored by a subsequent ligation of the ophthalmic artery, despite 2 weeks of profound visual loss and ocular ischemia. Superficial cotton-wool spots and deep gray intraretinal lesions developed in the retina during the period of ocular ischemia. We postulate that the deep intraretinal lesions are clinical manifestations of a zone of retinal microvascular watershed ischemia, and that their presence may be an important diagnostic guide to the presence of reversible ocular ischemia. |
| Subject |
Blindness; Blood Circulation; Carotid Artery Diseases; Craniocerebral Trauma; Female; Fluorescein Angiography; Fundus Oculi; Humans; Ischemia; Middle Older people; Ophthalmic Artery; Postoperative Complications; Retinal Diseases; Visual Acuity |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
226025 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6p30463/226025 |
