The Retina Reference

Branch Retinal Artery Occlusion with Stroke ER Referral

Multimedia Images of a 64 year-old male patient with a branch retinal artery occlusion (BRAO) of the left eye. He stated that he woke up with loss of the inferior visual field. A-The fundus photograph shows an embolus in a superotemporal branch retinal artery and ischemic retinal whitening of the superior hemimacula. B-The red free fundus photograph displays the ischemic whitening better than the color fundus photograph. C. The OCT shows the increased reflectivity of the inner retina in the ischemic zone. D.-The fluorescein angiogram shows delayed filling of the superotemporal branch retinal artery. Because the symptoms occurred within the previous 7 days he was referred to the stroke ER and was admitted for urgent brain MRI, CT angiogram, and cardiac echography. These studies revealed occlusion of the right vertebral artery and he was placed on clopidogrel and atorvastatin.