Central retinal artery occlusion following pediatric blunt ocular trauma

Bibliographic Details
Title: Central retinal artery occlusion following pediatric blunt ocular trauma
Authors: Sivaranjan Ramachandran, Kasturi Chavan, Tapas R Padhi, Brijesh Takkar, Sayali Karande, Anup Kelgaonkar, Krushna G Panda, Srikanta K Padhy
Source: Indian Journal of Ophthalmology, Vol 71, Iss 12, Pp 3626-3632 (2023)
Publisher Information: Wolters Kluwer Medknow Publications, 2023.
Publication Year: 2023
Collection: LCC:Ophthalmology
Subject Terms: blunt trauma, central retinal artery occlusion, disk pallor, Ophthalmology, RE1-994
More Details: Background: To analyze the clinical profile, presentation, possible pathophysiology, and outcomes of central retinal artery occlusion (CRAO) following blunt trauma in pediatric subjects. Methodology: The medical charts of subjects aged 18 years or less with a diagnosis of CRAO following blunt ocular trauma were analyzed retrospectively for demography, details of the trauma, ocular findings, additional imaging reports if any, and final outcome. A Medline search was done (key words like central retinal artery occlusion, blunt trauma, children, pediatric subjects, and adolescents) to gather information available in the literature on the subject. Results: A total of 11 patients (11 eyes), mean age of 14.3 ± 3.4 years, and 100% male preponderance, with an average time duration from trauma to presentation to the hospital of 8.1 days were included. Visual acuity ranged from no light perception (four eyes) to finger count at a 1 m distance. Intraocular pressure was raised in three patients, of which two were suffering from sickle cell disease. In two eyes, the CRAO coexisted with optic nerve avulsion and the cilioretinal artery was spared. Disk pallor was seen in six eyes as early as 12 days from the trauma. None of the cases revealed any bony fracture in the CT scan. Conclusion: CRAO was observed to be an important primary or contributory cause of visual loss in children following blunt trauma, reflex vasospasm being the most common etiology. Early onset disk pallor could suggest an underlying vascular compromise of both retinal and optic disk circulation in addition to direct disk damage.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0301-4738
1998-3689
Relation: http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=12;spage=3626;epage=3632;aulast=Ramachandran; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689
DOI: 10.4103/IJO.IJO_3337_22
Access URL: https://doaj.org/article/d930037dbf404d9087e8529b8e9b7d53
Accession Number: edsdoj.930037dbf404d9087e8529b8e9b7d53
Database: Directory of Open Access Journals
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More Details
ISSN:03014738
19983689
DOI:10.4103/IJO.IJO_3337_22
Published in:Indian Journal of Ophthalmology
Language:English