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Complete visual recovery after incipient crao due to ocular hypoperfusion in a patient with moyamoya disease.
Complete visual recovery after incipient crao due to ocular hypoperfusion in a patient with moyamoya disease. Retinal cases & brief reports Lad, E. M., Lad, S. P., Ung, C., Jain, A., Steinberg, G. K., Gaynon, M. W. 2013; 7 (3): 248-251Abstract
The purpose of this study was to report a case of an impending central retinal artery occlusion with hypoperfusion in a moyamoya patient.A young, surgically revascularized moyamoya patient experienced severe unilateral vision loss from 20/25 to hand motions because of impending central retinal artery occlusion. The patient was treated with a combination of intermittent ocular massage, intraocular pressure-lowering medications, and aspirin.A case of a moyamoya patient at Stanford University Medical Center.Visual acuity was restored to baseline by improving the ocular arterial-venous gradient after prompt administration of ocular massage, intraocular pressure-lowering drops, and aspirin.This dramatic result suggests that, if performed in a timely manner, augmentation of ocular perfusion can result in complete restoration of vision in some cases of incipient central retinal artery occlusion.
View details for DOI 10.1097/ICB.0b013e31828eef20
View details for PubMedID 25391116