Amalric sign: An augur of ophthalmic artery occlusion.

Abstract:

:A 75-year-old man presented to us with sudden onset of profound vision loss in his right eye and was identified as suffering from an ophthalmic artery occlusion. Apart from the retinal whitening and box-carring of the retinal arteries, there were characteristic triangular patches of retinal whitening in the midperipheral temporal fundus indicating a previous lateral posterior choroidal artery occlusion. The patient was a chronic smoker and had dyslipidemia. The carotid Doppler study showed complete occlusion of the internal carotid artery. The presence of these triangular patches of retinal whitening or amalric sign can therefore herald a more proximal vessel occlusion. Hence such patients require evaluation on an emergency basis. The characteristic features of the patches on fluorescein angiography and indocyanine green angiography are discussed here.

journal_name

Indian J Ophthalmol

authors

Hande P,Sinha B,Nayak S,Srinivasan S,Shetty J

doi

10.4103/ijo.IJO_42_17

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

1033-1035

issue

10

eissn

0301-4738

issn

1998-3689

pii

IndianJOphthalmol_2017_65_10_1033_216757

journal_volume

65

pub_type

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