TY - JOUR
T1 - Internal carotid artery dissection causing a branch retinal artery, occlusion in a young adult
AU - McDonough, Rhea L.
AU - Forteza, Alejandro M.
AU - Flynn, Harry W.
PY - 1998/5
Y1 - 1998/5
N2 - PURPOSE: To report a 34-year-old healthy man with an internal carotid artery dissection who presented with an ipsilateral branch retinal artery occlusion. METHOD: Case report. RESULTS: Ophthalmic examination of a young adult presenting with transient monocular visual loss and a superior nasal field defect disclosed a left inferior branch retinal artery occlusion. After fluorescein angiography, the patient had a vasovagal response, and his condition worsened to a left central retinal artery occlusion. Neurologic evaluation followed by carotid angiography disclosed a left internal carotid artery dissection with total occlusion of the internal carotid artery. CONCLUSION: The differential diagnosis of retinal arterial occlusion in a young healthy adult without any notable ocular or medical history, including trauma, should include spontaneous internal carotid artery dissection.
AB - PURPOSE: To report a 34-year-old healthy man with an internal carotid artery dissection who presented with an ipsilateral branch retinal artery occlusion. METHOD: Case report. RESULTS: Ophthalmic examination of a young adult presenting with transient monocular visual loss and a superior nasal field defect disclosed a left inferior branch retinal artery occlusion. After fluorescein angiography, the patient had a vasovagal response, and his condition worsened to a left central retinal artery occlusion. Neurologic evaluation followed by carotid angiography disclosed a left internal carotid artery dissection with total occlusion of the internal carotid artery. CONCLUSION: The differential diagnosis of retinal arterial occlusion in a young healthy adult without any notable ocular or medical history, including trauma, should include spontaneous internal carotid artery dissection.
UR - http://www.scopus.com/inward/record.url?scp=0032076258&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032076258&partnerID=8YFLogxK
U2 - 10.1016/S0002-9394(98)00034-8
DO - 10.1016/S0002-9394(98)00034-8
M3 - Article
C2 - 9625559
AN - SCOPUS:0032076258
VL - 125
SP - 706
EP - 708
JO - American Journal of Ophthalmology
JF - American Journal of Ophthalmology
SN - 0002-9394
IS - 5
ER -