Simultaneous occlusion of three cilioretinal arteries following scleral buckling surgery under local anesthesia

Figures & data

Figure 1 Color fundus image of the left eye showed an area of retina whitening, extending along the distribution of three cilioretinal arteries.

Figure 2 Fluorescein angiography images revealed only a vertical choroidal watershed centered on the optic disk, a faint screen effect in the perifoveal area due to intraretinal edema, and a normal CRA perfusion.

Abbreviation: CRA, cilioretinal artery.

Figure 3 A horizontal, cross-sectional OCT tomogram through the fovea disclosed diffuse thickening of the neurosensory retina.

Notes: Increased reflectivity was noted in the inner retinal layers from the surface of retina to the photoreceptor layers. Decreased reflectivity was observed from the photoreceptor layers and the retinal pigment epithelium secondary to the shadowing effect. Foveolar depression, photoreceptor layer in the fovea, and retinal pigment epithelium underneath the fovea were normal.
Abbreviations: OCT, optical coherence tomography; N, nasal; S, superior; T, temporal; I, inferior.

Figure 4 Visual field of the left eye (SITA-Fast Central 30-2 strategy) immediately (A) and after 3 months (B) since CRA occlusion.

Abbreviation: CRA, cilioretinal artery.

Figure 5 The macular thickness map, which was generated by means of OCT after 3 months since CRA occlusion, demonstrated thinning along the distribution of three cilioretinal arteries.

Abbreviations: OCT, optical coherence tomography; CRA, cilioretinal artery; ID, identity; DOB, date of birth; OD, right eye; OS, left eye; ILM, internal limiting membrane; RPE, retinal pigment epithelium; N, nasal; S, superior; T, temporal; I, inferior.