Wide field swept source OCT angiography of multifocal retinal and choroidal occlusions from embolic triamcinolone acetonide

Hasenin Al-Khersan; Jonathan F Russell; Yingying Shi; Jayanth Sridhar; Giovanni Gregori; Harry W Flynn; Philip J Rosenfeld

doi:10.1016/j.ajoc.2020.100704

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Wide field swept source OCT angiography of multifocal retinal and choroidal occlusions from embolic triamcinolone acetonide

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Wide field swept source OCT angiography of multifocal retinal and choroidal occlusions from embolic triamcinolone acetonide

Hasenin Al-Khersan, Jonathan F Russell, Yingying Shi, Jayanth Sridhar, Giovanni Gregori, Harry W Flynn and Philip J Rosenfeld

American journal of ophthalmology case reports, Vol.18, p.100704

06/2020

DOI: 10.1016/j.ajoc.2020.100704

PMCID: PMC7170946

PMID: 32322753

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Abstract

Multifocal retinal arterial occlusions and choroidal infarctions due to embolic triamcinolone acetonide (TA) administered during a septoplasty were imaged using swept source OCT angiography (SS-OCTA) to demonstrate the utility of this imaging modality for the diagnosis and longitudinal follow-up of retinal and choroidal vascular diseases. A 37-year-old man presented with vision loss in his left eye upon awakening from a left-sided septoplasty during which TA was injected. Examination of the left eye demonstrated retinal whitening in the macula, white material in the distal lumen of retinal arterioles, and multifocal hypopigmented choroidal lesions. SS-OCTA imaging showed the absence of detectable flow in areas of retinal and choroidal whitening. Corresponding B-scans demonstrated hyperreflective material, thought to be embolic TA, within the retinal vessels and inner choroid. Wide field SS-OCTA was sufficient for the diagnosis and longitudinal evaluation of retinal and choroidal occlusions without the need for dye-based angiography.

Choroid

Retina

Swept source optical coherence tomography angiography

Retinal artery occlusion

Choroidal infarction

Details

Title: Subtitle: Wide field swept source OCT angiography of multifocal retinal and choroidal occlusions from embolic triamcinolone acetonide
Creators: Hasenin Al-Khersan - Bascom Palmer Eye Institute, Miami, FL, USA
Jonathan F Russell - Bascom Palmer Eye Institute
Yingying Shi - Bascom Palmer Eye Institute
Jayanth Sridhar - Bascom Palmer Eye Institute
Giovanni Gregori - Bascom Palmer Eye Institute
Harry W Flynn - Bascom Palmer Eye Institute
Philip J Rosenfeld - Bascom Palmer Eye Institute
Resource Type: Journal article
Publication Details: American journal of ophthalmology case reports, Vol.18, p.100704
DOI: 10.1016/j.ajoc.2020.100704
PMID: 32322753
PMCID: PMC7170946
NLM abbreviation: Am J Ophthalmol Case Rep
ISSN: 2451-9936
eISSN: 2451-9936
Grant note: DOI: 10.13039/501100002806, name: Carl Zeiss Meditec, Inc; name: Salah Foundation, ; DOI: 10.13039/100001818, name: Research to Prevent Blindness, Inc; DOI: 10.13039/100000053, name: National Eye Institute Center, award: P30EY014801; name: Department of Ophthalmology; DOI: 10.13039/100006686, name: University of Miami; DOI: 10.13039/100008530, name: Miller School of Medicine
Language: English
Date published: 06/2020
Academic Unit: Ophthalmology and Visual Sciences
Record Identifier: 9984187222002771

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