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Case Reports
. 2012 Apr-Jun;19(2):247-50.
doi: 10.4103/0974-9233.95265.

Comparison of optical coherence tomography findings in a patient with central retinal artery occlusion in one eye and end-stage glaucoma in the fellow eye

Daniel P Greene  1 , Charles P Richards, Nicola G Ghazi
Affiliations
Case Reports

Comparison of optical coherence tomography findings in a patient with central retinal artery occlusion in one eye and end-stage glaucoma in the fellow eye

Daniel P Greene et al. Middle East Afr J Ophthalmol. 2012 Apr-Jun.

Abstract

This case describes a patient with chronic central retinal artery occlusion in one eye and end-stage traumatic glaucoma in the fellow eye. Optical coherence tomography (OCT) of the macula of the chronic phase of central retinal artery occlusion of the right eye indicated loss of the normal foveal depression, extensive inner retinal atrophy, and marked retinal thinning. In contrast, scans of the left eye with end-stage glaucoma demonstrated an intact foveal depression and limited retinal thinning. The pattern of macular OCT findings in this patient illustrates distinguishing features between chronic central retinal artery occlusion and chronic optic neuropathy due to end-stage glaucoma.

Keywords: Central Retinal Artery Occlusion; Chronic Optic Neuropathy; Optical Coherence Tomography.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Stratus time domain optical coherence imaging prior to onset of central retinal artery occlusion in the right eye. (a) Preservation of the stratification of the inner retinal layers is noted in the right eye, and the central subfield thickness measures 224 μm. (b) In the left eye, the inner retinal layers are collapsed into a single thick hyperreflective band bordered externally by the hyporeflective inner nuclear layer. The central subfield thickness measures 231 μm. Note intact foveal depression in both eyes despite end-stage glaucoma in the left eye
Figure 2
Figure 2
Spectralis spectral domain optical coherence imaging and funduscopy 16 months following central retinal artery occlusion. (a) Note the absence of foveal depression and stratification of inner retinal layers in the right eye. The inner retina is collapsed into a single thick hyperreflective band. The central subfield thickness measures 204 μm. (b) Left eye discloses similar features to those shown in figure 1b, and the central subfield thickness is 284 μm. (c) Retinal nerve fiber layer (RNFL) analysis of both eyes. Note the marked decrease in RFNL thickness of both eyes. (d) Right eye fundus photograph shows narrowed arterioles, scarring secondary to panretinal and macular photocoagulation, optociliary shunt vessels, and absence of optic nerve head cupping. (e) Left eye fundus photograph shows nearly complete optic nerve head cupping with relative preservation of the retinal vascular caliber
See this image and copyright information in PMC

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