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Embolism of Central Retinal Artery: Secondary to Myocardial Infarction With Mural Thrombosis

Embolism of Central Retinal Artery: Secondary to Myocardial Infarction With Mural Thrombosis Abstract Although it has now been a century since Schweigger provided histopathologic proof that von Graefe's first description of embolism of the central retinal artery was correct, few well-documented cases are on record and it is generally believed today that obstruction of this vessel with the sudden onset of blindness in the affected eye is rarely the result of an embolus.1,2 It is the purpose of this report to record a case in which unilateral blindness occurred suddenly in a patient hospitalized because of a recent myocardial infarction. Report of Case * Clinical History. —A 59-year-old white man was admitted to the hospital for treatment of symptoms of acute myocardial infarction. He had been hospitalized three years before, also because of severe myocardial infarction, and since then had been on digitalis. Ten days after admission, while in the hospital, he complained of inability to see with his left eye. An ophthalmological References 1. AFIP Accession 951983: Case contributed by Dr. Stanley Gross, Director, Division of Laboratories, North Shore Hospital, Manhasset, Long Island, New York. 2. uke-Elder, W. S.: Text-Book of Ophthalmology, Diseases of Inner Eye , St. Louis: C. V. Mosby Co., 1941, vol 3, pp 2569-2572. 3. Manschot, W. A.: Embolism of Central Retinal Artery Originating From Endocardial Myxoma , Amer J Ophthal 48:381-385, 1959. 4. Hollenhorst, R. W.: Carotid and Vertebral-Basilar Arterial Stenosis and Occlusion: Neuro-Ophthalmologic Considerations , Trans Amer Acad Ophthal 66:166-180, 1962. 5. McBrien, D. J.; Bradley, R. D.; and Ashton, N.: The Nature of Retinal Emboli in Stenosis of the Internal Carotid Artery , Lancet 1:697-699, 1963.Crossref 6. Crompton, M. R.: Retinal Emboli in Stenosis of the Internal Carotid Artery , Lancet 1:886, 1963.Crossref 7. David, N. J.; Klintworth, G. K.; Friedberg, S. J.; and Dillon, M.: Fatal Atheromatous Cerebral Embolism Associated With Bright Plaques in the Retinal Arterioles 8. Report of a Case , Neurol 13:708-713, 1963.Crossref 9. Cogan, D. G.; Kuwabara, T.; and Moser, H.: Fat Emboli in the Retina Following Angiography , Arch Ophthal 71:308-313, 1964.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Embolism of Central Retinal Artery: Secondary to Myocardial Infarction With Mural Thrombosis

Archives of Ophthalmology , Volume 73 (6) – Jun 1, 1965

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Publisher
American Medical Association
Copyright
Copyright © 1965 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1965.00970030824013
Publisher site
See Article on Publisher Site

Abstract

Abstract Although it has now been a century since Schweigger provided histopathologic proof that von Graefe's first description of embolism of the central retinal artery was correct, few well-documented cases are on record and it is generally believed today that obstruction of this vessel with the sudden onset of blindness in the affected eye is rarely the result of an embolus.1,2 It is the purpose of this report to record a case in which unilateral blindness occurred suddenly in a patient hospitalized because of a recent myocardial infarction. Report of Case * Clinical History. —A 59-year-old white man was admitted to the hospital for treatment of symptoms of acute myocardial infarction. He had been hospitalized three years before, also because of severe myocardial infarction, and since then had been on digitalis. Ten days after admission, while in the hospital, he complained of inability to see with his left eye. An ophthalmological References 1. AFIP Accession 951983: Case contributed by Dr. Stanley Gross, Director, Division of Laboratories, North Shore Hospital, Manhasset, Long Island, New York. 2. uke-Elder, W. S.: Text-Book of Ophthalmology, Diseases of Inner Eye , St. Louis: C. V. Mosby Co., 1941, vol 3, pp 2569-2572. 3. Manschot, W. A.: Embolism of Central Retinal Artery Originating From Endocardial Myxoma , Amer J Ophthal 48:381-385, 1959. 4. Hollenhorst, R. W.: Carotid and Vertebral-Basilar Arterial Stenosis and Occlusion: Neuro-Ophthalmologic Considerations , Trans Amer Acad Ophthal 66:166-180, 1962. 5. McBrien, D. J.; Bradley, R. D.; and Ashton, N.: The Nature of Retinal Emboli in Stenosis of the Internal Carotid Artery , Lancet 1:697-699, 1963.Crossref 6. Crompton, M. R.: Retinal Emboli in Stenosis of the Internal Carotid Artery , Lancet 1:886, 1963.Crossref 7. David, N. J.; Klintworth, G. K.; Friedberg, S. J.; and Dillon, M.: Fatal Atheromatous Cerebral Embolism Associated With Bright Plaques in the Retinal Arterioles 8. Report of a Case , Neurol 13:708-713, 1963.Crossref 9. Cogan, D. G.; Kuwabara, T.; and Moser, H.: Fat Emboli in the Retina Following Angiography , Arch Ophthal 71:308-313, 1964.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1965

References