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Branch Retinal Artery Occlusion Caused by an Embolus of Metastatic Gastric Adenocarcinoma
Arch Ophthalmol. 2002;120:1209-1211.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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We report a case of branch retinal artery occlusion caused by an embolus
of metastatic gastric adenocarcinoma. A 67-year-old man sought treatment for
sudden visual loss in his left eye. He had a medical history of gastric cancer
with liver metastasis. Findings on funduscopic examination included localized
edema of the inner retina consistent with a supratemporal branch retinal artery
occlusion and a yellowish-white subretinal mass surrounded by shallow retinal
detachment superior to the equator. Histopathological and immunohistochemical
examinations of the eye obtained post mortem showed positive staining of the
choroidal tumor for epithelial membrane and carcinoembryonic antigens. In
addition, an embolus of tumor cells was found to cause occlusion of the retinal
artery.
Occlusion of the retinal artery is mostly ascribed to either embolus,
thrombus, or vasculitis. It is strongly associated with carotid atheromatous
plaque or cardiac valvular diseases with vegetation. Other causes, such as
atrial myxoma, temporal arteritis, periarteritis . . . [Full Text of this Article] Report of a Case
Comment
Corresponding author and reprints: Akihiro Ohira, MD, PhD, Department
of Ophthalmology, Shimane Medical University, 89-1 Enya, Izumo, Shimane 693-8501,
Japan (e-mail: aohira@shimane-med.ac.jp).
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