PMID: 11927432Apr 3, 2002Paper

Embolic central retinal artery occlusion detected by orbital color Doppler imaging

Ophthalmology
Rod ForoozanRobert C Sergott

Abstract

To describe the detection of emboli to the retrobulbar circulation using orbital color Doppler imaging in patients with central retinal artery occlusions (CRAO) without visible retinal emboli. Noncomparative, retrospective, observational case series. Twenty-nine patients with CRAO, without funduscopic evidence of embolic material within the retinal arterioles, underwent neuroophthalmic examination and evaluation with orbital color Doppler imaging. The detection of retrobulbar plaques using orbital color Doppler imaging. Nine of 29 (31%) patients with CRAO demonstrated hyperechoic retrobulbar plaques. All nine patients had visual acuity of counting fingers or worse at presentation. Six of the nine patients (67%) had a history of hypertension, and seven (78%) had coronary artery disease as vascular risk factors for arterial occlusive disease. Two of the nine patients (22%) subsequently died from cardiac-related events. This study demonstrates that orbital color Doppler imaging is an important diagnostic procedure for establishing embolism as the cause of CRAO when no emboli are visible in the retinal circulation. This noninvasive technology enables prompt differentiation of embolic disease from arterial occlusion caused by intrin...Continue Reading

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Citations

Aug 10, 2007·International Ophthalmology·Subina NarangSunandan Sood
Feb 18, 2016·The Journal of Emergency Medicine·Alessandro RiccardiRoberto Lerza
Apr 14, 2010·Survey of Ophthalmology·Galina Dimitrova, Satoshi Kato
Mar 20, 2014·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Mathias AltmannFelix Schlachetzki
Apr 19, 2012·Korean Journal of Ophthalmology : KJO·Young-Jun JangHo-Chang Kim
Jul 1, 2009·Retinal Cases & Brief Reports·Laurent GheckChristophe Baudouin
Feb 19, 2019·Clinical Practice and Cases in Emergency Medicine·Ben Stoner-Duncan, Stephen C Morris
Jun 23, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Austin T SmithRobinson M Ferre
Oct 4, 2019·International Ophthalmology·Marta P WiącekDaniel Zaborski
Jan 11, 2005·European Journal of Ophthalmology·A UstymowiczZ Mariak
Apr 20, 2018·BMC Ophthalmology·Stephan TobalemArgyrios Chronopoulos
Sep 14, 2020·The Journal of Emergency Medicine·Chad SkidmoreNena Lundgreen Mason
Apr 14, 2020·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Christian LottspeichMichael Czihal
May 20, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Brian Mac GroryWuwei Feng
Nov 18, 2021·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society

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