COMPLETE VISUAL RECOVERY AFTER INCIPIENT CRAO DUE TO OCULAR HYPOPERFUSION IN A PATIENT WITH MOYAMOYA DISEASE

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Abstract

Purpose:

The purpose of this study was to report a case of an impending central retinal artery occlusion with hypoperfusion in a moyamoya patient.

Methods:

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.

Patients:

A case of a moyamoya patient at Stanford University Medical Center.

Results:

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.

Conclusion:

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.

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