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KMID : 0360220160570020324
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Journal of the Korean Ophthalmological Society
2016 Volume.57 No. 2 p.324 ~ p.329
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Central Retinal Artery Occlusion after Trauma: Report of Two Cases
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고중식:Koh Joong-Sik
우세준:Woo Se-Joon
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Abstract
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Purpose: To report two patients who developed central retinal artery occlusion (CRAO) after trauma.
Case summary: A 26-year-old man complained of severe loss of vision in his left eye after falling and bumping his forehead on a staircase. His visual acuity was light perception in the left eye. Fundus examination revealed edematous white retina and a cherry red spot on the macula. Angiography showed severe stenosis in the initial segment of the ophthalmic artery with ophthalmic arterial embolus. He underwent intra-arterial thrombolysis with a clinical diagnosis of CRAO with ophthalmic artery stenosis. A 57-year-old woman presented with vision loss after falling and striking her face below her right lower eyelid on a wooden stick. Her visual acuity was hand motions in the right eye. Fundus examinations showed white retina with opacity and a cherry red spot on the macula. Fluorescein angiography and optical coherence tomography was performed, and a clinical diagnosis of CRAO was made.
Conclusions: CRAO must be considered when clinically differentiating visual loss after a trauma.
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KEYWORD
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Central retinal artery occlusion, Intra-arterial thrombolysis, Trauma
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