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¹Başkent Üniversitesi Hastanesi Göz Hastalıkları A.D., İstanbul, Uz. Dr.
²Başkent Üniversitesi Hastanesi Göz Hastalıkları A.D., İstanbul, Yrd. Doç. Dr.
³Başkent Üniversitesi Hastanesi Göz Hastalıkları A.D., Ankara, Doç. Dr.
⁴Başkent Üniversitesi Hastanesi Göz Hastalıkları A.D., Ankara, Prof. Dr. To report a case of unilateral cilioretinal artery associated with familial displasminogemia (FD) and its response to hyperbaric oxygen (HBO) treatment. A 34-year-old-man presented with acute loss of vision in the left eye because of the cilioretinal artery occlusion. Fundus photography, fluorescein angiography, OCT, visual field test were performed. HBO treatment was instituted to treat the patient who had been suffering for this complaint for a week. The patient had decreased plasminogen activity and elevated lipoprotein level and the diagnosis of FD was made by cardiologist. After the hyperbaric oxygen treatment, visual acuity improved from 20/200 to 20/25 and the size of scotoma in visual field test decreased from 30° to 20°.
The combined effect of decreased plasminogen activity and elevated lipoprotein (a) should be considered a possible cause of retinal artery occlusion. This case demonstrates a possible benefit of using hyperbaric oxygen treatment as a noninvasive tool in the treatment of cilioretinal artery occlusion. Keywords : Cilioretinal artery occlusion, familial displasminogemia, hyperbaric oxygen therapy