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Complete visual recovery after incipient CRAO due to ocular hypoperfusion in a patient with moyamoya disease.

Lad EM, Lad SP, Ung C, Jain A, Steinberg GK, & Gaynon MW.
Retin Cases Brief Rep. 7(3):248-51. doi: 10.1097/ICB.0b013e31828eef20.
2013-07-01

Abstract

PURPOSE: The purpose of this study was to report a case of an impending central retinal artery occlusion with hypoperfusion in a moyamoya patient.

METHODS: A young, surgically revascularized moyamoya patient experienced severe unilateral vision loss from 20/25 to hand motions because of impending central retinal artery occlusion. The patient was treated with a combination of intermittent ocular massage, intraocular pressure-lowering medications, and aspirin.

PATIENTS: A case of a moyamoya patient at Stanford University Medical Center.

RESULTS: Visual acuity was restored to baseline by improving the ocular arterial-venous gradient after prompt administration of ocular massage, intraocular pressure-lowering drops, and aspirin.

CONCLUSION: This dramatic result suggests that, if performed in a timely manner, augmentation of ocular perfusion can result in complete restoration of vision in some cases of incipient central retinal artery occlusion.

PubMed Abstract

Research Topics

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