Henle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion: a case report

Abstract Background The purpose of this study is to describe a patient who experienced simultaneous central retinal vein and cilioretinal artery occlusions, as well as perifoveal hemorrhage in the Henle fiber. Case presentation A 67-year-old Iranian woman presented with a 3-day history of reduced vi...

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Main Authors: Hamid Riazi-Esfahani, Nazanin Ebrahimiadib, Nikoo Hamzeh, Kaveh Fadakar, Elias Khalili Pour
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-023-04100-y
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author Hamid Riazi-Esfahani
Nazanin Ebrahimiadib
Nikoo Hamzeh
Kaveh Fadakar
Elias Khalili Pour
author_facet Hamid Riazi-Esfahani
Nazanin Ebrahimiadib
Nikoo Hamzeh
Kaveh Fadakar
Elias Khalili Pour
author_sort Hamid Riazi-Esfahani
collection DOAJ
description Abstract Background The purpose of this study is to describe a patient who experienced simultaneous central retinal vein and cilioretinal artery occlusions, as well as perifoveal hemorrhage in the Henle fiber. Case presentation A 67-year-old Iranian woman presented with a 3-day history of reduced vision in her left eye. Venous tortuosity and retinal hemorrhage were observed in the retina, together with whitened regions around the fovea, consistent with the diagnosis of central retinal vein occlusion in conjunction with cilioretinal artery occlusion. In structural and en face optical coherence tomography, star-shaped hemorrhages were observed around the fovea, which looked hyperreflective in the Henle fiber layer. Conclusions We present a case of central retinal vein occlusion exacerbated by cilioretinal occlusion and hemorrhage in the Henle fiber layer. The hemorrhage is most likely the result of increased intraluminal pressure in the deep capillary plexus.
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spelling doaj.art-85d80df9545b4afb916138e3a7b8d6d82023-11-26T13:26:26ZengBMCJournal of Medical Case Reports1752-19472023-08-011711510.1186/s13256-023-04100-yHenle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion: a case reportHamid Riazi-Esfahani0Nazanin Ebrahimiadib1Nikoo Hamzeh2Kaveh Fadakar3Elias Khalili Pour4Retina Service, Farabi Eye Hospital, Tehran University of Medical SciencesRetina Service, Farabi Eye Hospital, Tehran University of Medical SciencesRetina Service, Farabi Eye Hospital, Tehran University of Medical SciencesRetina Service, Farabi Eye Hospital, Tehran University of Medical SciencesRetina Service, Farabi Eye Hospital, Tehran University of Medical SciencesAbstract Background The purpose of this study is to describe a patient who experienced simultaneous central retinal vein and cilioretinal artery occlusions, as well as perifoveal hemorrhage in the Henle fiber. Case presentation A 67-year-old Iranian woman presented with a 3-day history of reduced vision in her left eye. Venous tortuosity and retinal hemorrhage were observed in the retina, together with whitened regions around the fovea, consistent with the diagnosis of central retinal vein occlusion in conjunction with cilioretinal artery occlusion. In structural and en face optical coherence tomography, star-shaped hemorrhages were observed around the fovea, which looked hyperreflective in the Henle fiber layer. Conclusions We present a case of central retinal vein occlusion exacerbated by cilioretinal occlusion and hemorrhage in the Henle fiber layer. The hemorrhage is most likely the result of increased intraluminal pressure in the deep capillary plexus.https://doi.org/10.1186/s13256-023-04100-yHenle fibre layer hemorrhageCentral retinal vein occlusionCilioretinal artery occlusion
spellingShingle Hamid Riazi-Esfahani
Nazanin Ebrahimiadib
Nikoo Hamzeh
Kaveh Fadakar
Elias Khalili Pour
Henle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion: a case report
Journal of Medical Case Reports
Henle fibre layer hemorrhage
Central retinal vein occlusion
Cilioretinal artery occlusion
title Henle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion: a case report
title_full Henle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion: a case report
title_fullStr Henle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion: a case report
title_full_unstemmed Henle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion: a case report
title_short Henle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion: a case report
title_sort henle fiber layer hemorrhage associated with combined central retinal vein occlusion and cilioretinal artery occlusion a case report
topic Henle fibre layer hemorrhage
Central retinal vein occlusion
Cilioretinal artery occlusion
url https://doi.org/10.1186/s13256-023-04100-y
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AT nikoohamzeh henlefiberlayerhemorrhageassociatedwithcombinedcentralretinalveinocclusionandcilioretinalarteryocclusionacasereport
AT kavehfadakar henlefiberlayerhemorrhageassociatedwithcombinedcentralretinalveinocclusionandcilioretinalarteryocclusionacasereport
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