Central retinal artery occlusion secondary to Barlow's disease

摘要: Abstract Purpose To report a rare case of isolated, unilateral CRAO in young patient with mitral valve prolapse secondary to Barlow's disease. Observations A 29-year-old woman history premature ventricular contractions and cardiac ablation presented the emergency room after sudden onset painless visual loss her left eye (OS). Her vision was 20/20 right hand motion left. Fundus exam demonstrated central retinal artery occlusion (CRAO) OS. Computerized tomography head neck were unremarkable. She underwent cerebral angiogram local intra-arterial thrombolysis. remained stable post-procedure, marked APD fundus examination. work-up revealed atrial mass calcified valve, small septal defect. Rheumatologic, hematologic, auto-immune resection repair ASD closure. Surgical pathology compatible diagnosis disease, cause prolapse. The intravitreal injection anti-VEGF therapy at one month follow-up, without neovascularization on subsequent evaluation. Conclusions In patients presenting CRAO, aggressive for systemic disease or embolic source must be undertaken avoid future sequelae.