TY - JOUR
T1 - Wide field swept source OCT angiography of multifocal retinal and choroidal occlusions from embolic triamcinolone acetonide
AU - Al-khersan, Hasenin
AU - Russell, Jonathan F.
AU - Shi, Yingying
AU - Sridhar, Jayanth
AU - Gregori, Giovanni
AU - Flynn, Harry W.
AU - Rosenfeld, Philip J.
N1 - Funding Information:
Research supported by grants from Carl Zeiss Meditec, Inc. (Dublin, CA), the Salah Foundation, an unrestricted grant from the Research to Prevent Blindness, Inc. (New York, NY), and the National Eye Institute Center Core Grant (P30EY014801) to the Department of Ophthalmology, University of Miami Miller School of Medicine. Dr. Russell was supported in part by a Heed Fellowship. The funding organizations had no role in the design or conduct of the present research.
Funding Information:
Research supported by grants from Carl Zeiss Meditec, Inc . (Dublin, CA), the Salah Foundation, an unrestricted grant from the Research to Prevent Blindness, Inc . (New York, NY), and the National Eye Institute Center Core Grant ( P30EY014801 ) to the Department of Ophthalmology , University of Miami Miller School of Medicine . Dr. Russell was supported in part by a Heed Fellowship. The funding organizations had no role in the design or conduct of the present research.
Publisher Copyright:
© 2020 The Authors
PY - 2020/6
Y1 - 2020/6
N2 - Purpose: Multifocal retinal arterial occlusions and choroidal infarctions due to embolic triamcinolone acetonide (TA) administered during a septoplasty were imaged using swept source OCT angiography (SS-OCTA) to demonstrate the utility of this imaging modality for the diagnosis and longitudinal follow-up of retinal and choroidal vascular diseases. Observations: A 37-year-old man presented with vision loss in his left eye upon awakening from a left-sided septoplasty during which TA was injected. Examination of the left eye demonstrated retinal whitening in the macula, white material in the distal lumen of retinal arterioles, and multifocal hypopigmented choroidal lesions. SS-OCTA imaging showed the absence of detectable flow in areas of retinal and choroidal whitening. Corresponding B-scans demonstrated hyperreflective material, thought to be embolic TA, within the retinal vessels and inner choroid. Conclusions: Wide field SS-OCTA was sufficient for the diagnosis and longitudinal evaluation of retinal and choroidal occlusions without the need for dye-based angiography.
AB - Purpose: Multifocal retinal arterial occlusions and choroidal infarctions due to embolic triamcinolone acetonide (TA) administered during a septoplasty were imaged using swept source OCT angiography (SS-OCTA) to demonstrate the utility of this imaging modality for the diagnosis and longitudinal follow-up of retinal and choroidal vascular diseases. Observations: A 37-year-old man presented with vision loss in his left eye upon awakening from a left-sided septoplasty during which TA was injected. Examination of the left eye demonstrated retinal whitening in the macula, white material in the distal lumen of retinal arterioles, and multifocal hypopigmented choroidal lesions. SS-OCTA imaging showed the absence of detectable flow in areas of retinal and choroidal whitening. Corresponding B-scans demonstrated hyperreflective material, thought to be embolic TA, within the retinal vessels and inner choroid. Conclusions: Wide field SS-OCTA was sufficient for the diagnosis and longitudinal evaluation of retinal and choroidal occlusions without the need for dye-based angiography.
KW - Choroid
KW - Choroidal infarction
KW - Retina
KW - Retinal artery occlusion
KW - Swept source optical coherence tomography angiography
UR - http://www.scopus.com/inward/record.url?scp=85083297574&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85083297574&partnerID=8YFLogxK
U2 - 10.1016/j.ajoc.2020.100704
DO - 10.1016/j.ajoc.2020.100704
M3 - Article
AN - SCOPUS:85083297574
VL - 18
JO - American Journal of Ophthalmology Case Reports
JF - American Journal of Ophthalmology Case Reports
SN - 2451-9936
M1 - 100704
ER -