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.

Duke Scholars

Author Eleonora Georgeta Lad Ophthalmology, Vitreoretinal Diseases & Surgery

Author Shivanand Lad Neurosurgery