Résumé
A 45-year-old Caucasian woman presented with sudden onset right-sided hemiparesis, aphasia and a painful left eye. Examination revealed a bone-white fundus with no perfusion of either the retinal or choroidal circulations. Magnetic resonance imaging showed increased signal density of the left optic nerve sheath, orbital fat and extraocular muscles consistent with infarction of the ophthalmic artery distribution. An echocardiogram disclosed a mobile, multilobulated mass attached to the septal wall of the left atrium. Pathological examination of the resected tumour confirmed the diagnosis of endocardial myxoma. A colour Doppler study performed 1 month after surgery demonstrated absence of flow in the left ophthalmic artery. At 2 months, the left eye had no light perception and an intraocular pressure of 2 mmHg. This clinicopathological report describes the rare presentation of an acute ophthalmic artery obstruction secondary to atrial myxoma.
| Langue d'origine | English |
|---|---|
| Pages (de-à) | 25-29 |
| Nombre de pages | 5 |
| Journal | Eye |
| Volume | 11 |
| Numéro de publication | 1 |
| DOI | |
| Statut de publication | Published - 1997 |
| Publié à l'externe | Oui |
Note bibliographique
Funding Information:Acute ophthalmic artery occlusion is an infrequent event. Vascular occlusions in the eye more commonly involve either the retinal or choroidal circulations. In one survey of arterial occlusions of the eye, acute ophthalmic artery occlusion accounted for only 1 of 62 cases.1 This clinicopathological report describes a patient with an acute ophthalmic artery occlusion due to an atrial myxoma. This diagnosis was supported by magnetic resonance imaging (MRI) of the head and orbits, intravenous fluorescein angiography of the retina and choroid, colour Doppler imaging, echocardiography and pathological examination of an endocardial tumour excised from the left atrium.
ASJC Scopus Subject Areas
- Ophthalmology
- Sensory Systems
PubMed: MeSH publication types
- Case Reports
- Journal Article