Patent foramen ovale as a cause of acute vision loss.

Published on Jul 18, 2021in International Journal of Ophthalmology1.33
· DOI :10.18240/IJO.2021.07.25
Ewa Grudzińska1
Estimated H-index: 1
Barbara Nowacka4
Estimated H-index: 4
(Pomeranian Medical University)
+ 3 AuthorsMonika Modrzejewska9
Estimated H-index: 9
#1Kwan Hyuk Cho (Seoul National University Bundang Hospital)H-Index: 8
#2Seong Joon Ahn (Hanyang University)H-Index: 20
Last. Se Joon Woo (Seoul National University Bundang Hospital)H-Index: 40
view all 8 authors...
PURPOSE: To analyze the characteristics of retinal emboli and their association with vascular reperfusion in retinal artery occlusion (RAO). METHODS: In this retrospective comparative case series, we analyzed emboli in patients with acute central retinal artery occlusion (CRAO) or branch retinal artery occlusion (BRAO) and visible emboli, and analyzed vascular reperfusion in patients with visible emboli causing blockage of perfusion. The patients were divided into emboli "movement" and "no movem...
16 CitationsSource
PURPOSE: To present the case of a man with branch retinal artery occlusion (BRAO) and concomitant patent foramen ovale (PFO), which was first diagnosed during the evaluation of BRAO. METHODS: A 35-year-old man presented with blurred vision in the left eye for 2 days. His best-corrected visual acuity (BCVA) was 6/6 in the right eye and 6/12 in the left eye. He had no ophthalmic or medical history. RESULTS: Ophthalmologic examination revealed a left inferior BRAO, confirmed by fluorescein angiogra...
5 CitationsSource
#1Shunichi Homma (Columbia University)H-Index: 89
#2Steven R. Messé (HUP: Hospital of the University of Pennsylvania)H-Index: 32
Last. Marco R. Di Tullio (Columbia University)H-Index: 55
view all 9 authors...
Patent foramen ovale (PFO) and atrial-septal aneurysm (ASA) are congenital cardiac abnormalities that are highly prevalent in the general population. Observational studies have found an association between these anomalies and several neurologic diseases, including stroke, decompression sickness from SCUBA diving, migraine, and others. In this chapter, we will discuss the diagnosis of PFO and ASA, review the data that implicate them as causes of neurologic disorders—particularly cryptogenic strok...
35 CitationsSource
#1Suqin Yu (SJTU: Shanghai Jiao Tong University)H-Index: 6
#2Claudine E. Pang (Manhattan Eye, Ear and Throat Hospital)H-Index: 16
Last. David Sarraf (UCLA: University of California, Los Angeles)H-Index: 56
view all 10 authors...
Purpose To describe the spectrum of retinal capillary ischemia, including superficial and deep capillary ischemia, as identified with spectral-domain optical coherence tomography (SD OCT), that occurs in retinal arterial occlusive disease. Design Retrospective observational case series. Methods Clinical charts, color fundus photography, red-free fundus photography, fluorescein angiography, near-infrared reflectance, and SD OCT imaging in 40 eyes of 35 patients with retinal arterial occlusive dis...
110 CitationsSource
#1Nasser Shoeibi (MUMS: Mashhad University of Medical Sciences)H-Index: 9
#2Hoorak PoorzandH-Index: 6
Last. Mojtaba AbrishamiH-Index: 11
view all 3 authors...
Purpose: To report branch retinal artery occlusion (BRAO) in a patient with patent foramen ovale (PFO). Case Report: A 29-year-old female patient was referred for sudden onset superior visual field defect in her left eye. Ocular examination revealed visual acuity of 20/32 in the affected eye along with a positive relative afferent pupillary defect. A calcified white embolus was noted at the first bifurcation of the inferior temporal artery in her left eye together with mild retinal edema. With a...
6 Citations
#1Pukhraj Rishi (SN: Sankara Nethralaya)H-Index: 14
#2Ekta Rishi (SN: Sankara Nethralaya)H-Index: 13
Last. Sheshadri Mahajan (SN: Sankara Nethralaya)H-Index: 5
view all 4 authors...
Amongst the clinical presentations of retinal artery occlusion, hemi-central retinal artery occlusion (Hemi-CRAO) is rarely described. This case series of four adults aged between 22 and 36 years attempts to describe the clinical profile, etiology and management of Hemi-CRAO. Case 1 had an artificial mitral valve implant. Polycythemia and malignant hypertension were noted in Case 2. The third patient had Leiden mutation while the fourth patient had Eisenmenger's syndrome. Clinical examination an...
11 CitationsSource
#1Shunichi Homma (Columbia University)H-Index: 89
#2Ralph L. Sacco (Columbia University)H-Index: 157
This review summarizes the current state of knowledge about the relationship of patent foramen ovale (PFO) with ischemic stroke. Initial sections discuss the studies that identified this association. Subsequent sections discuss the detection techniques for PFO and other variables that may cause a PFO to be a conduit of paradoxical embolization. Finally, a section is devoted to summarizing the studies that assessed the strategies for preventing recurrent ischemic events in patients with PFO. In ≈...
326 CitationsSource
#1Sharma S (Queen's University)H-Index: 12
#2Sanjay SharmaH-Index: 23
Last. Gary C. BrownH-Index: 63
view all 4 authors...
Objectif: Faire etat des observations echocardiographiques transthoraciques chez les jeunes patients atteints d'une thrombose aigue d'une artere retinienne, vu leur risque clinique de maladie cardio-embolique. Conception : Serie de cas. Contexte: Quatre centres hospitaliers tertiaires en Amerique du Nord. Patients : Onze patients de moins de 45 ans presentant une thrombose aigue d'une artere retinienne qui ont subi une echocardiographie transthoracique. Mesure des resultats : Traitement anticoag...
26 Citations
#1Craig M. Greven (Wake Forest University)H-Index: 24
#2M. Madison Slusher (Wake Forest University)H-Index: 18
Last. Richard G. Weaver (Wake Forest University)H-Index: 10
view all 3 authors...
Purpose To determine the cause, associated factors, visual results, and systemic morbidity in patients less than 40 years old with retinal arterial occlusions. Methods We studied 27 eyes with nontraumatic retinal arterial occlusions in 21 patients less than 40 years old (range, 22 to 38 years; mean, 28 years). Results Of the 21 patients, branch retinal artery (arteriolar) occlusion occurred in 15 (71%), central retinal artery occlusion occurred in five (24%), and cilioretinal artery occlusion oc...
127 CitationsSource
#1Gary C. Brown (Wills Eye Institute)H-Index: 40
#2Larry E. Magargal (Wills Eye Institute)H-Index: 27
Last. Peter N. Walsh (TU: Temple University)H-Index: 56
view all 5 authors...
Abstract The records of 27 patients who developed retinal arterial obstruction (RAO) prior to the age of 30 years were studied to ascertain associated systemic and ocular findings as possible etiologic factors. A history of migraine was found in approximately one third of the patients, and coagulation abnormalities were also common. Trauma, sickle cell hemoglobinopathies, cardiac disorders, use of oral contraceptives, pregnancy, systemic lupus erythematosus and intravenous drug abuse were less f...
197 CitationsSource
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