“Branch retinal artery occlusion in a sixteen-year-old girl with patent foramen ovale”

Introduction: The etiology and risk factors of the extremely rare retinal artery occlusion (RAO) in pediatric patients are poorly understood. We report a case of transient branch RAO (BRAO) patent foramen ovale (PFO)-related left circulation thromboembolism. Observations: A healthy sixteen-year-old...

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Main Authors: Barbara Casarini, Margherita Burani, Stefano Meletti, Guido Bigliardi, Livio Picchetto, Tommaso Verdina
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993625000957
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author Barbara Casarini
Margherita Burani
Stefano Meletti
Guido Bigliardi
Livio Picchetto
Tommaso Verdina
author_facet Barbara Casarini
Margherita Burani
Stefano Meletti
Guido Bigliardi
Livio Picchetto
Tommaso Verdina
author_sort Barbara Casarini
collection DOAJ
description Introduction: The etiology and risk factors of the extremely rare retinal artery occlusion (RAO) in pediatric patients are poorly understood. We report a case of transient branch RAO (BRAO) patent foramen ovale (PFO)-related left circulation thromboembolism. Observations: A healthy sixteen-year-old female presented with painless decreased vision in her left eye. Examinations revealed ischemic edema of a localized sector of the macular area and delayed artero-venous blood transit. Following neurological, cardiological and genetic examinations, a diagnosis and subsequent treatment for PFO were undertaken. Conclusions and importance: This rare case shows that a PFO should be always considered as a potential etiology of RAO in young patients, thus highlighting the importance of investigating all potential sources of embolisms to prevent further ischemic events.
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series American Journal of Ophthalmology Case Reports
spelling doaj-art-51e27d038f5049e59f72a97addf627bb2025-08-20T01:51:35ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362025-06-013810234210.1016/j.ajoc.2025.102342“Branch retinal artery occlusion in a sixteen-year-old girl with patent foramen ovale”Barbara Casarini0Margherita Burani1Stefano Meletti2Guido Bigliardi3Livio Picchetto4Tommaso Verdina5Institute of Ophthalmology, AOU Policlinico di Modena, 41121, Modena, ItalyNeurology Department, AOU Policlinico di Modena, 41124, Modena, Italy; Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41121, Modena, ItalyNeurology Department, AOU Policlinico di Modena, 41124, Modena, Italy; Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41121, Modena, ItalyStroke Unit – Neurology Clinic, Department of Neuroscience, 220340, Ospedale Civile di Baggiovara, AOU di Modena, ItalyStroke Unit – Neurology Clinic, Department of Neuroscience, 220340, Ospedale Civile di Baggiovara, AOU di Modena, ItalyInstitute of Ophthalmology, AOU Policlinico di Modena, 41121, Modena, Italy; Corresponding author. Institute of Ophthalmology, AOU Policlinico di Modena, via del Pozzo 71, 41121, Modena, Italy.Introduction: The etiology and risk factors of the extremely rare retinal artery occlusion (RAO) in pediatric patients are poorly understood. We report a case of transient branch RAO (BRAO) patent foramen ovale (PFO)-related left circulation thromboembolism. Observations: A healthy sixteen-year-old female presented with painless decreased vision in her left eye. Examinations revealed ischemic edema of a localized sector of the macular area and delayed artero-venous blood transit. Following neurological, cardiological and genetic examinations, a diagnosis and subsequent treatment for PFO were undertaken. Conclusions and importance: This rare case shows that a PFO should be always considered as a potential etiology of RAO in young patients, thus highlighting the importance of investigating all potential sources of embolisms to prevent further ischemic events.http://www.sciencedirect.com/science/article/pii/S2451993625000957Retinal artery occlusionPatent foramen ovalePediatric population
spellingShingle Barbara Casarini
Margherita Burani
Stefano Meletti
Guido Bigliardi
Livio Picchetto
Tommaso Verdina
“Branch retinal artery occlusion in a sixteen-year-old girl with patent foramen ovale”
American Journal of Ophthalmology Case Reports
Retinal artery occlusion
Patent foramen ovale
Pediatric population
title “Branch retinal artery occlusion in a sixteen-year-old girl with patent foramen ovale”
title_full “Branch retinal artery occlusion in a sixteen-year-old girl with patent foramen ovale”
title_fullStr “Branch retinal artery occlusion in a sixteen-year-old girl with patent foramen ovale”
title_full_unstemmed “Branch retinal artery occlusion in a sixteen-year-old girl with patent foramen ovale”
title_short “Branch retinal artery occlusion in a sixteen-year-old girl with patent foramen ovale”
title_sort branch retinal artery occlusion in a sixteen year old girl with patent foramen ovale
topic Retinal artery occlusion
Patent foramen ovale
Pediatric population
url http://www.sciencedirect.com/science/article/pii/S2451993625000957
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AT guidobigliardi branchretinalarteryocclusioninasixteenyearoldgirlwithpatentforamenovale
AT liviopicchetto branchretinalarteryocclusioninasixteenyearoldgirlwithpatentforamenovale
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