TY - JOUR
T1 - Branch retinal arterial occlusion treated with intravenous prostaglandin E1 and steroids
AU - Steigerwalt, Robert D.
AU - Belcaro, Gianni
AU - Rosaria Cesarone, M.
AU - De Angelis, Mauro
AU - Florio, Francesca Romana
AU - Gattegna, Roberto
AU - Pascarella, Antonella
PY - 2011/9
Y1 - 2011/9
N2 - Purpose: To present the use of 6-methylprednisolone IV and prostaglandin E1 IV, a powerful vasodilator of the microcirculation, in the treatment of a branch retinal arterial occlusion. Methods: A 63-year-old man presented with a 3-hour history of a sudden loss of vision in the right eye. On ophthalmic examination, the diagnosis of a superior temporal branch retinal arterial occlusion was made. The patient was immediately given 40 mg of 6-methylprednisolone IV for more than 5 minutes followed by 80 mg of prostaglandin E1 with 2 milliequivalents of potassium IV for more than 3 hours. The same treatment was repeated the following morning. Results: The visual acuity in the right eye improved from 2/10 at presentation to 7/10 at the end of the second day of treatment. Clinically, there was a reduction of the posterior pole edema. Eleven days after treatment, the visual acuity was 9/10 with no retinal edema. Conclusion: Immediate prostaglandin E1 IV and steroids should be considered in cases of recent-onset branch retinal arterial occlusion to restore retinal blood flow and improve visual acuity.
AB - Purpose: To present the use of 6-methylprednisolone IV and prostaglandin E1 IV, a powerful vasodilator of the microcirculation, in the treatment of a branch retinal arterial occlusion. Methods: A 63-year-old man presented with a 3-hour history of a sudden loss of vision in the right eye. On ophthalmic examination, the diagnosis of a superior temporal branch retinal arterial occlusion was made. The patient was immediately given 40 mg of 6-methylprednisolone IV for more than 5 minutes followed by 80 mg of prostaglandin E1 with 2 milliequivalents of potassium IV for more than 3 hours. The same treatment was repeated the following morning. Results: The visual acuity in the right eye improved from 2/10 at presentation to 7/10 at the end of the second day of treatment. Clinically, there was a reduction of the posterior pole edema. Eleven days after treatment, the visual acuity was 9/10 with no retinal edema. Conclusion: Immediate prostaglandin E1 IV and steroids should be considered in cases of recent-onset branch retinal arterial occlusion to restore retinal blood flow and improve visual acuity.
KW - Branch retinal arterial occlusion (BRAO)
KW - Ischemia-reperfusion injury
KW - Ocular ischemia
KW - Prostaglandin E1(PGE1)
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U2 - 10.1097/ICB.0b013e3182051de9
DO - 10.1097/ICB.0b013e3182051de9
M3 - Article
AN - SCOPUS:84856476996
VL - 5
SP - 355
EP - 357
JO - Retinal Cases and Brief Reports
JF - Retinal Cases and Brief Reports
SN - 1935-1089
IS - 4
ER -