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- W2770645706 abstract "A 58-year-old man with hypertension presented to the emergency department, complaining of 1 day of sudden left-eye visual-field loss. His left eye’s visual acuity was 20/50 and intraocular pressure was 12 mm Hg. Slit-lamp biomicroscopic examination result was normal. Fundus examination revealed an intravascular yellow-white plaque and pale retina in the left eye (Figure). Branch retinal arterial occlusion caused by an embolic plaque. Branch retinal arterial occlusion stems from the obstruction of a branch of the central retinal artery and results in focal ischemia of the wedge-shaped area. The resultant hypoperfusion of retinal tissue may result in painless vision loss. The emboli that cause branch retinal arterial occlusion are generally either related to cholesterol, appearing as a “fluffy spot” in the artery (Hollenhorst’s plaque), or are related to the heart valves, with embolic calcific plaques that appear as a white region within the artery.1Hollenhorst R.W. Significance of bright plaques in the retinal arterioles.JAMA. 1961; 178: 23-29Crossref PubMed Scopus (216) Google Scholar, 2Mason 3rd, J.O. Shah A.A. Vail R.S. et al.Branch retinal artery occlusion: visual prognosis.Am J Ophthalmol. 2008; 146: 455-457Abstract Full Text Full Text PDF PubMed Scopus (50) Google Scholar Many occurrences of branch retinal arterial occlusion improve spontaneously, and aggressive management is frequently not pursued.2Mason 3rd, J.O. Shah A.A. Vail R.S. et al.Branch retinal artery occlusion: visual prognosis.Am J Ophthalmol. 2008; 146: 455-457Abstract Full Text Full Text PDF PubMed Scopus (50) Google Scholar, 3Hayreh S.S. Ocular vascular occlusive disorders: natural history of visual outcome.Prog Retin Eye Res. 2014; 41: 1-25Crossref PubMed Scopus (177) Google Scholar A critical aspect of managing patients with branch retinal arterial occlusion is to assess their risk of stroke such as with carotid ultrasonography or echocardiography, as needed.4Recchia F.M. Brown G.C. Systemic disorders associated with retinal vascular occlusion.Curr Opin Ophthalmol. 2000; 11: 462-467Crossref PubMed Scopus (84) Google Scholar, 5Hayreh S.S. Podhajsky P.A. Zimmerman M.B. Retinal artery occlusion: associated systemic and ophthalmic abnormalities.Ophthalmology. 2009; 116: 1928-1936Abstract Full Text Full Text PDF PubMed Scopus (217) Google Scholar One month later, this patient's visual acuity was 20/40 and the pale retina resolved with residual intra-arterial plaque. Further testing did not reveal internal carotid artery stenosis and cardiac valve abnormality." @default.
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- W2770645706 date "2017-12-01" @default.
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- W2770645706 title "Male With Sudden Left Eye Vision Loss" @default.
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- W2770645706 doi "https://doi.org/10.1016/j.annemergmed.2017.06.010" @default.
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