Amaurosis Fugax Preceeding Central Retinal Artery Occlusion : a Case Report

Amaurosis fugax is a temporary condition characterized by transient visual loss which lasts several minutes or hours. This symptom can precede central retinal artery occlusion, which can cause permanent visual loss and bear several morbidity and mortality risks. We are reporting a case of a 59-year-...

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Main Authors: Ade John Nursalim, Vera Sumual, Andrew Cietra, Elbetty Simanjuntak, Christian Maramis, Komaling Komaling, Stevanus Josafat Loho
Format: Article
Language:Indonesian
Published: Universitas Pembangunan Nasional Veteran Jakarta 2022-06-01
Series:Jurnal Profesi Medika
Subjects:
Online Access:https://ejournal.upnvj.ac.id/index.php/JPM/article/view/4254
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author Ade John Nursalim
Vera Sumual
Andrew Cietra
Elbetty Simanjuntak
Christian Maramis
Komaling Komaling
Stevanus Josafat Loho
author_facet Ade John Nursalim
Vera Sumual
Andrew Cietra
Elbetty Simanjuntak
Christian Maramis
Komaling Komaling
Stevanus Josafat Loho
author_sort Ade John Nursalim
collection DOAJ
description Amaurosis fugax is a temporary condition characterized by transient visual loss which lasts several minutes or hours. This symptom can precede central retinal artery occlusion, which can cause permanent visual loss and bear several morbidity and mortality risks. We are reporting a case of a 59-year-old female with an unknown history related to risk factors who developed a painless vision loss in her right eye after experiencing similar symptoms for a short time. We describe the clinical features and other findings related to the diagnosis and discuss the further risk and management. Medical history, physical examination, and optical coherence tomography diagnosed acute central retinal artery occlusion. This includes a history of painless monocular vision loss, macular cherry-red spots, and papilledema. The diagnosis was confirmed by optical coherence tomography showing hyperreflectivity in the inner retinal layer, retinal edema, and hyperreflectivity in the outer retinal layer. Blood test including complete blood check, erythrocyte sedimentation rate (ESR), C reactive protein, lipid profile, and inflammatory markers within normal limit. The patient was then administered to further secondary vascular occlusion prevention, including a blood test, and referred to the neurology department for further examination. Early diagnosis and prompt treatment are necessary for this occlusive disease. A comprehensive examination to mitigate secondary vascular occlusion is needed to prevent morbidity and mortality.
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spelling doaj.art-b4baca2752d249e497da9eaf009df8912022-12-22T03:42:25ZindUniversitas Pembangunan Nasional Veteran JakartaJurnal Profesi Medika0216-34382621-11222022-06-0116110.33533/jpm.v16i1.42541338Amaurosis Fugax Preceeding Central Retinal Artery Occlusion : a Case ReportAde John Nursalim0Vera SumualAndrew CietraElbetty SimanjuntakChristian MaramisKomaling KomalingStevanus Josafat Lohodepartement of ophthalmology, Prof dr R D Kandou central hospital, North sulawesi Province, Manado, IndonesiaAmaurosis fugax is a temporary condition characterized by transient visual loss which lasts several minutes or hours. This symptom can precede central retinal artery occlusion, which can cause permanent visual loss and bear several morbidity and mortality risks. We are reporting a case of a 59-year-old female with an unknown history related to risk factors who developed a painless vision loss in her right eye after experiencing similar symptoms for a short time. We describe the clinical features and other findings related to the diagnosis and discuss the further risk and management. Medical history, physical examination, and optical coherence tomography diagnosed acute central retinal artery occlusion. This includes a history of painless monocular vision loss, macular cherry-red spots, and papilledema. The diagnosis was confirmed by optical coherence tomography showing hyperreflectivity in the inner retinal layer, retinal edema, and hyperreflectivity in the outer retinal layer. Blood test including complete blood check, erythrocyte sedimentation rate (ESR), C reactive protein, lipid profile, and inflammatory markers within normal limit. The patient was then administered to further secondary vascular occlusion prevention, including a blood test, and referred to the neurology department for further examination. Early diagnosis and prompt treatment are necessary for this occlusive disease. A comprehensive examination to mitigate secondary vascular occlusion is needed to prevent morbidity and mortality.https://ejournal.upnvj.ac.id/index.php/JPM/article/view/4254amaurosis fugax, central retinal artery occlusion
spellingShingle Ade John Nursalim
Vera Sumual
Andrew Cietra
Elbetty Simanjuntak
Christian Maramis
Komaling Komaling
Stevanus Josafat Loho
Amaurosis Fugax Preceeding Central Retinal Artery Occlusion : a Case Report
Jurnal Profesi Medika
amaurosis fugax, central retinal artery occlusion
title Amaurosis Fugax Preceeding Central Retinal Artery Occlusion : a Case Report
title_full Amaurosis Fugax Preceeding Central Retinal Artery Occlusion : a Case Report
title_fullStr Amaurosis Fugax Preceeding Central Retinal Artery Occlusion : a Case Report
title_full_unstemmed Amaurosis Fugax Preceeding Central Retinal Artery Occlusion : a Case Report
title_short Amaurosis Fugax Preceeding Central Retinal Artery Occlusion : a Case Report
title_sort amaurosis fugax preceeding central retinal artery occlusion a case report
topic amaurosis fugax, central retinal artery occlusion
url https://ejournal.upnvj.ac.id/index.php/JPM/article/view/4254
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