Complete visual recovery after incipient crao due to ocular hypoperfusion in a patient with moyamoya disease
Purpose: The purpose of this study was to report a case of an impending central retinal artery occlusion with hypoperfusion in a moyamoya patient. Methods: A young, surgically revascularized moyamoya patient experienced severe unilateral vision loss from 20/25 to hand motions because of impending central retinal artery occlusion. The patient was treated with a combination of intermittent ocular massage, intraocular pressure-lowering medications, and aspirin. Patients: A case of a moyamoya patient at Stanford University Medical Center. Results: Visual acuity was restored to baseline by improving the ocular arterial-venous gradient after prompt administration of ocular massage, intraocular pressure-lowering drops, and aspirin. Conclusion: This dramatic result suggests that, if performed in a timely manner, augmentation of ocular perfusion can result in complete restoration of vision in some cases of incipient central retinal artery occlusion. Copyright © by Ophthalmic Communications Society Inc.
Lad, EM; Lad, SP; Ung, C; Jain, AT; Steinberg, GK; Gaynon, MW
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