RT Journal Article
T1 Multimodality imaging approach for combined central retinal vein and artery occlusion: the role of optical coherence tomography angiography
A1 Díez Sotelo, Marta
A1 Abraldes López-Veiga, Maximino José
A1 Gómez-Ulla de Irazazábal, Francisco Javier
K1 Optical coherence tomography angiography
K1 Retinal vein occlusion
K1 Retinal artery occlusion
K1 Fluorescein angiography
K1 Imaging retina
AB Combined central retinal artery and vein occlusion is an uncommon vascular pathology that can cause severe and permanent visual impairment. Optical coherence tomography angiography (OCTA) is a newly available, noninvasive imaging technique that can potentially improve understanding of the structural and vascular implications and prognosis of this infrequent pathology. The present report describes the principal clinical findings in a case of combined central retinal artery and vein occlusion, as detected by the different imaging modalities available in a tertiary referral hospital. OCTA wide-field montage images identified an extensive area of nonperfusion on the macula with involvement of the entire retina at nearly 360°. We observed the most severe nonperfusion in the deep capillary plexus, while perfusion of the choriocapillaris was unaffected. Meanwhile, fluorescein angiography (FA) findings revealed a delay in perfusion rate with marked nonperfusion areas in the peripheral retina at 360°. We identified that the wide-field OCTA montage permitted visualization of a similar or wider peripheral retinal area compared with FA. Therefore, OCTA is potentially useful for assessment of the global retinal nonperfusion status at baseline and during follow-up, with the added advantage of being a noninvasive technique
PB Karger
YR 2019
FD 2019
LK http://hdl.handle.net/10347/21183
UL http://hdl.handle.net/10347/21183
LA eng
NO Díez-Sotelo M., Abraldes M., Gómez-Ulla F.: Multimodality Imaging Approach for Combined Central Retinal Vein and Artery Occlusion: The Role of Optical Coherence Tomography Angiography. Case Rep Ophthalmol 2019;10:415-423. doi: 10.1159/000504127
NO This work was supported in part by the Mutua Madrileña project (Ref. 2017/365)
DS Minerva
RD 24 abr 2026