
Idiopathic pediatric retinal artery occlusion
Author(s) -
George J Manayath,
Parag K Shah,
Venkatapathy Narendran,
Rodney J Morris
Publication year - 2010
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.60091
Subject(s) - medicine , branch retinal artery occlusion , retinal artery occlusion , visual acuity , retinal artery , ophthalmology , retinal , occlusion , girl , macular edema , retina , fluorescein angiography , surgery , psychology , developmental psychology , physics , optics
We report a case of branch retinal artery occlusion (BRAO) in a healthy young girl. An eight-year-old girl presented with sudden loss of vision in her left eye. She had a pale retina with macular edema consistent with extensive BRAO. A thorough workup was performed to determine any etiologic factor. All test results were within normal limits. Her visual acuity improved from finger counting to 20/40 over two weeks, on immediate treatment with intravenous steroids (methyl prednisolone). This case suggests that BRAO can occur in healthy children without any detectable systemic or ocular disorders and a dramatic improvement may be achieved with prompt treatment with intravenous steroids.