NR. 3(I)/2007



Zator gałęzi tętnicy środkowej siatkówki – opis przypadku

Branch Central Retinal Artery Occlusion – Case Report


Małgorzata Figurska, Joanna Sobczak, Mariusz Stępień

Z Kliniki Okulistyki Wojskowego Instytutu Medycznego w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz

Summary: The central retinal artery is a direct branch of the ophthalmic artery, which branches off from the internal carotid artery. It is the main source of the retinal vascular system, which ends with the internal capillary plexus in the internal nuclear layer. The central retinal artery is anatomically the terminal branch in this system, which means that in the case of its occlusion there is no possibility of creating the anastomoses necessary for secondary circulation.
The aim of this article is to present the case of acute ischemia of the posterior pole caused by occlusion of the lower temporal branch of the central retinal artery in a 50 yrs old woman.
As the result of non-surgical treatment functional improvement was gained from counting fingers to 0.9. The article presents images of fluorescein angiography from the acute phase and post-treatment phase of the disease as well as the results of visual field and contrast examination.
 
Key words: branch central retinal artery occlusion (BRAO), treatment, diagnostic, fluorescein angiography.



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