Retinal Strokes

Kollarits, Carol R.

doi:10.1001/jama.1972.03210100023005

Cited by 58 publications

(12 citation statements)

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“…Estimates of the proportion of retinal arterial occlusions caused by emboli vary, but may be assumed to account for about a third of all cases [15]. The most important source of retinal emboli is atherosclerotic disease of the carotid arteries [13,16]. These findings are confirmed by our results, particularly in the subgroup of patients with isolated cilioretinal artery occlusions.…”

supporting

confidence: 85%

“…In our series all patients complained of a sudden, painless loss of central vision restricted to one eye. In 10 of 33 cases (30%) the patients noted the visual defect on waking up in the morning, which may be due to reduced retinal perfusion secondary to nocturnal hypotension [13]. Six out of 33 patients (18 %) reported antecedent episodes of transient visual loss.…”

mentioning

confidence: 97%

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Cilioretinal Artery Occlusion

Stoffelns

Laspas

2015

Klin Monatsbl Augenheilkd

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supporting

confidence: 85%

mentioning

confidence: 97%

Cilioretinal Artery Occlusion

Stoffelns

Laspas

2015

Klin Monatsbl Augenheilkd

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“…[1] Among the numerous anecdotal reports of central retinal artery occlusion (CRAO) the earliest by von Graefe in 1859 described CRAO in a patient of endocarditis and multiple systemic emboli. [2] An estimated 0.85 per 10,000 patients over the age of 40 years are affected.…”

mentioning

confidence: 99%

Retinal arterial occlusions in the young: Systemic associations in Indian population

Ratra

Dhupper

2012

Indian J Ophthalmol

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Purpose:To determine the systemic associations in retinal arterial occlusions (RAO) in young Indian individuals less than 40 years of age.Materials and Methods:Case records of 32 patients (35 eyes) of less than 40 years, with non-traumatic RAO were analysed. All patients underwent detailed ophthalmic and systemic evaluation including hemogram, lipid profile, coagulation profile, vasculitis screening, carotid Doppler, echocardiogram.Results:In the study 21 were males and 11 were females. The age ranged from 11-39 years (Mean 27.6 ± 8.43). Nine (28%) patients were below 20 years of age. Among 35 eyes, 28 (80%) had central retinal artery occlusion (CRAO), three (8.6%) had branch retinal artery occlusion (BRAO), two (5.7%) each had cilio-retinal (CLAO) and hemi-retinal artery occlusion (HRAO). Vision ranged from no perception of light to 20/20. On systemic evaluation, in 21 (65.6%) patients a hypercoagulable state was responsible for the RAO. Conditions leading to a hypercoagulable state included hyperhomocysteinemia (21.9%), hyperlipidemia (15.6%), anticardiolipin antibody (6.2%), antiphospholipid antibody (6.2%), polycythemia, thrombocytosis, protein S deficiency, use of oral contraceptives and renal disorder (3.1% each). Six (18.7%) patients had cardiac valvular defects. Vasculitis screening was positive in three (9.4%) patients. Two (6.2%) had isolated systemic hypertension. In two (6.2%) patients no abnormality could be detected.Conclusion:The systemic associations of RAOs in the Indian population were distinctly different from those reported in the Western population. Hyperhomocysteinemia was the commonest association found. Whereas associations reported in the Western population such as cardiac abnormalities, coagulation disorders, hemoglobinopathies and oral contraceptive use were uncommon.

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“…According to a population-based study, CRAO occurs more often in older persons, with a mean age of 61.9, but is relatively rare in young patients [11]. Approximately 75% of cases of retinal arterial obstruction (RAO) in patients over the age of 40 have findings suggestive of emboli originating from the carotid arteries [12]. However, young patients with RAO rarely have artheromatous vascular diseases, but rather have more diverse etiologic factors [13].…”

Section: Discussionmentioning

confidence: 99%

Acute Central Retinal Artery Occlusion Associated with Livedoid Vasculopathy: A Variant of Sneddon's Syndrome

Song

Woo

Jung

et al. 2013

Korean J Ophthalmol

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Livedoid vasculopathy (LV) is characterized by a long history of ulceration of the feet and legs and histopathology indicating a thrombotic process. We report a case of acute central retinal artery occlusion in a 32-year-old woman who had LV. She showed no discernible laboratory abnormalities such as antiphospholipid antibodies and no history of cerebrovascular accidents. Attempted intra-arterial thrombolysis showed no effect in restoring retinal arterial perfusion or vision. The central retinal artery occlusion accompanied by LV in this case could be regarded as a variant form of Sneddon's syndrome, which is characterized by livedo reticularis and cerebrovascular accidents.

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Retinal Strokes

Cited by 58 publications

References 0 publications

Cilioretinal Artery Occlusion

Cilioretinal Artery Occlusion

Retinal arterial occlusions in the young: Systemic associations in Indian population

Acute Central Retinal Artery Occlusion Associated with Livedoid Vasculopathy: A Variant of Sneddon's Syndrome

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