Title

OPEN YOUR EYES FOR STROKE

Introduction

We will present the importance of the diagnosis of arterial occlusion as a way of preventing stroke.

Methods

Clinical case.

Results

A 79-year-old female patient was admitted to the UNICAMP Hospital de Clínicas, with scotoma in the upper right eye hemicamp, started 4 days before the admission day , suddenly. She denied pain or photopsies. On examination, BCVA 20:40 OD/OE, normal intraocular pressure in both eyes. Anterior segment biomicroscopy without changes. Right eye fundus with pallor and retinal edema of the inferior temporal arch with preserved macula. Presence of embolus in lower first branch of central retinal artery Normal left eye. Visual field showed scotoma of the entire upper hemicamp. Fluorescein angiography showing inferior temporal territory filling failure. Patient undergoing follow-up, presenting in subsequent returns, sustained visual acuity and reperfusion of the affected area, but with maintenance of the scotoma.

Discussion

Arterial occlusions present an important differential diagnosis in elderly patients with sudden low vision. Today we know that these patients have a high risk of stroke in the future, due to 90% of these patients having multiple cardiovascular risk factors. Because of this, we now consider it as a subtype of the classical stroke. Therefore, the identification of these cases is essential for prevention of a deadly or highly morbid event soon.

Keywords

stroke, arteral occlusion

Area

CLINICAL CASE

Authors

ERICK CARNEIRO HOLANDA, MATHEUS SCHWENGBER GASPARINI, JOÃO JORGE NASSARALLA NETO, DELMA REGINA GOMES HUARACHI, IURI CARDOSO SILVA, VICENTE HIDALGO RODRIGUES FERNANDES, MAURICIO ABUJAMRA NASCIMENTO, ANDREA MARA SIMOES TORIGOE