Branch retinal artery occlusion in a patient with one eye. Laser Nd:YAG approach

A M Solans Pérez-Larraya; J M Ortega-Molina; A D Salgado-Miranda; J L García-Serrano

doi:10.1016/j.oftal.2016.01.002

Branch retinal artery occlusion in a patient with one eye. Laser Nd:YAG approach

Arch Soc Esp Oftalmol. 2016 Jun;91(6):295-7. doi: 10.1016/j.oftal.2016.01.002. Epub 2016 Feb 16.

[Article in English, Spanish]

Authors

A M Solans Pérez-Larraya¹, J M Ortega-Molina², A D Salgado-Miranda², J L García-Serrano²

Affiliations

¹ Servicio de Oftalmología, Hospital Universitario San Cecilio, Granada, España. Electronic address: anasolans@hotmail.com.
² Servicio de Oftalmología, Hospital Universitario San Cecilio, Granada, España.

PMID: 26896065
DOI: 10.1016/j.oftal.2016.01.002

Abstract

Clinical case: An 82-year-old man was admitted to the emergency department complaining of a sudden painless visual loss in his left eye (OS). He was diagnosed with branch retinal artery occlusion (BRAO) with a visible embolus. In 2012, he had a central artery occlusion (CRAO) in his right eye (OD). An embolysis with Nd:YAG laser was attempted, the retinal arterial blood flow was restored completely and the visual field was improved, with no secondary complications.

Conclusions: Nd:YAG laser embolysis is a treatment to be considered in patients with BRAO with a visible embolus. The risks and benefits of the procedure should be evaluated, comparing it with possible permanent loss of visual acuity and other vascular complications caused by BRAO.

Keywords: Blanch retinal artery occlusion; Embolus; Embolysis; Embólisis; Láser Nd:YAG; Nd:YAG laser; Oclusión de rama arterial retiniana; Oclusión vascular; Vascular occlusion; Émbolo.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Early Diagnosis
Embolectomy
Fluorescein Angiography
Humans
Laser Therapy / methods*
Lasers, Solid-State / therapeutic use
Male
Retinal Artery Occlusion / diagnostic imaging
Retinal Artery Occlusion / surgery*
Vision, Monocular*