Branch Retinal Artery Occlusion After Coil Embolization of a Paraclinoid Aneurysm

Choudhry, Netan MD
Brucker, Alexander J. MD

From the Retina Service, Scheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania.

The authors have no proprietary or financial interest in the materials presented herein.

Address correspondence to Alexander J. Brucker, MD, Retina Service, Scheie Eye Institute, 51 N. 39th Street, Philadelphia, PA 19104; email: [email protected].

Received July 13, 2013

Accepted November 14, 2013

Ophthalmic Surgery, Lasers, and Imaging Retina 45(3):p e26-e28, January 01, 2014. | DOI: 10.3928/23258160-20140331-05

The authors report a case of a 48-year-old woman with a branch retinal artery occlusion after the neurosurgical coiling of a paraclinoid aneurysm. Clinical examination revealed a Hollenhorst plaque at the bifurcation of the inferior arcade and at a branch of the superior arcade with associated retinal whitening in the right eye. Follow-up examination at 8 months demonstrated improved visual acuity with near complete resolution of the retinal infarction but a persistent inferior Hollenhorst plaque. This case illustrates a retinal artery occlusion as a possible complication of paraclinoid aneurysmal coiling procedure.

[Ophthalmic Surg Lasers Imaging Retina. 2014;45:e26–e28.]