Diagnosis Oklusi Arteri Retina Cabang

Oleh :

dr.Michael Wiryadana

Diagnosis oklusi arteri retina cabang atau branch retinal artery occlusion (BRAO) perlu dicurigai pada pasien yang mengalami gangguan penglihatan mendadak, dan memiliki risiko kejadian tromboemboli seperti riwayat hipertensi atau stroke. Pemeriksaan seperti Optical Coherence Tomography (OCT) dan OCT-angiography (OCT-A) dapat mengidentifikasi adanya kelainan pembuluh darah retina.[1,6,8,20,21]

Anamnesis

Pada oklusi arteri retina cabang akut pasien umumnya mengeluhkan kehilangan pandangan yang mendadak tanpa disertai rasa nyeri. Skotoma sentral, parasentral, atau altitudinal dapat dijumpai pada pasien.[6,8,20]

Referensi

1. Flaxel CJ, Adelman RA, Bailey ST, Fawzi A, Lim JI, Vemulakonda GA, et al. Retinal and Ophthalmic Artery Occlusions Preferred Practice Pattern. Ophthalmology. 2020 Feb;127(2):P259–87.
2. Cheemalapati S, Babu SM. An Ocular Emergency Often Ignored. Cureus. 2023 Jul 12;
4. Goldman D, Waheed NK, Duker JS. Atlas of Retinal OCT E-Book: Optical Coherence Tomography. Elsevier Health Sciences; 2017. 211 p.
6. Diel RJ. Symptomatic Branch Retinal Artery Occlusion: An Under-Recognized Sign of Stroke. 2020;
8. De Salvo G, Oshallah M, Sepetis AE, Borbara R, Oliverio GW, Meduri A, et al. Inner Retinal Thinning Comparison between Branch Retinal Artery Occlusion and Primary Open-Angle Glaucoma. Diagnostics (Basel). 2023 Nov 10;13(22):3428.
9. Patel PS, Sadda SR. Retinal Artery and Capillary Occlusions. In: Ryan SJ, Sadda SR, Hinton DR, Schachat AP, Sadda SR, Wilkinson CP, et al., editors. Retina. 7th ed. London: W.B. Saunders; 2023. p. 1155–71.
12. Daxer B, et al. Aetiology, Diagnosis and Treatment of Arterial Occlusions of the Retina—A Narrative Review. Medicina. 2024 Apr;60(4):526.
20. Scott IU, Campochiaro PA, Newman NJ, Biousse V. Retinal Vascular Occlusions. Lancet. 2020 Dec 12;396(10266):1927–40.
21. Martinez-Viguera A, Xuclà-Ferrarons T, Collet R, Olmedo-Saura G, Martí-Fàbregas J, Izquierdo A, et al. Clinical characteristics and outcome of amaurosis fugax due to transient retinal ischemia: Results from a contemporary cohort. Journal of Stroke and Cerebrovascular Diseases. 2023 Nov 1;32(11).
22. Belliveau AP, Somani AN, Dossani RH. Pupillary Light Reflex. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. https://www.ncbi.nlm.nih.gov/books/NBK537180/
23. Broadway DC. How to test for a relative afferent pupillary defect (RAPD). Community Eye Health. 2016;29(96):68–9.
24. Bouthour W, Biousse V, Newman NJ. Diagnosis of Optic Disc Oedema: Fundus Features, Ocular Imaging Findings, and Artificial Intelligence. Neuroophthalmology. 47(4):177–92.
25. Bajpai V, Madan S, Beri S. Arteritic anterior ischaemic optic neuropathy: An update. European Journal of Ophthalmology. 2021 Nov;31(6):2818–27.
26. Holliday L, Wilde C. Retinal detachment. InnovAiT. 2019 Dec 1;12(12):720–4.
27. Liang S, Chen Q, Hu C, Chen M. Association of Paracentral Acute Middle Maculopathy with Visual Prognosis in Retinal Artery Occlusion: A Retrospective Cohort Study. J Ophthalmol. 2022 May 21;2022:9404973.
28. Date RC, Law JC. Branch Retinal Artery Occlusion (BRAO). Medscape. 2023. https://emedicine.medscape.com/article/1223362-overview
29. Dattilo M, Newman NJ, Biousse V. Acute retinal arterial ischemia. Ann Eye Sci. 2018 Jun;3:28.

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Masuk atau Daftar

Nomor Ponsel Sudah Terdaftar

Masuk dengan Email

Masuk dengan Email

Masuk dengan Facebook

Diagnosis Oklusi Arteri Retina Cabang

Referensi

Masuk atau Daftar

Artikel Terkait