Sudden occlusion of the retinal and posterior choroidal circulations in a youth.

Abstract:

:A 14-year-old boy was stabbed above the left eye and had subsequent loss of both retinal and choroidal perfusion to the posterior segment. Ophthalmoscopic examination ten days after the injury disclosed intense nerve fiber layer edema, most prominent in the posterior pole, and absence of a cherry-red spot. Intravenous fluorescein angiography showed no filling of retinal vessels and only patchy, segmental, peripapillary choroidal filling, probably secondary to collateral circulation developing from the episcleral arterial plexus. Leakage of dye from the peripapillary choroid into the overlying retina was caused by ischemic necrosis of the retinal pigment epithelium. Follow-up examination 11 days later revealed marked sclerosis of the smaller arterioles, optic pallor, atrophic retinal pigment epithelial changes, and loss of retinal substance, most marked in the posterior pole.

journal_name

Am J Ophthalmol

authors

Brown GC,Magargal LE

doi

10.1016/0002-9394(79)90666-4

subject

Has Abstract

pub_date

1979-10-01 00:00:00

pages

690-3

issue

4

eissn

0002-9394

issn

1879-1891

pii

0002-9394(79)90666-4

journal_volume

88

pub_type

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