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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Combined central retinal artery and vein occlusion secondary to cataract surgery...
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Vol. 89. Issue 4.
Pages 161-164 (April 2014)
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Vol. 89. Issue 4.
Pages 161-164 (April 2014)
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Combined central retinal artery and vein occlusion secondary to cataract surgery in a patient with persistent hyaloid artery
Oclusión combinada de arteria y vena central de la retina tras cirugía de catarata en paciente con arteria hialoidea persistente
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N. Doménech-Aracil
Corresponding author
nurife@hotmail.com

Corresponding author.
, J. Montero-Hernández, A. Gracia-García, E. Cervera-Taulet
Servicio Oftalmología, Hospital General Universitario de Valencia, Valencia, Spain
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Abstract
Case report

A 72-year-old woman referred for cataract surgery in her right eye. Biomicroscopy revealed a retrocapsular fibrotic tissue in communication with the optic nerve, suggesting a persistent hyaloid artery (PAH). A posterior capsule rupture unexpectedly occurred during lens hydrodissection. One day after surgery, fundus examination showed a combined central retinal artery and vein occlusion.

Conclusion

PAH is uncommon, but its presence may alert us of this possible complication during cataract surgery.

Keywords:
Persistent hyaloid artery
Cataract surgery
Central retinal vein occlusion
Central retinal artery occlusion
Combined central retinal artery and vein occlusion
Resumen
Caso clínico

Mujer de 72 años remitida para cirugía de catarata en su ojo derecho. La biomicroscopía mostró un tejido fibrótico retrocapsular que comunicaba con el nervio óptico, sugestivo de arteria hialoidea persistente (PAH). Durante la hidrodisección se produjo una inesperada disrupción de la cápsula posterior del cristalino. Un día tras la cirugía, el fondo de ojo reveló una oclusión combinada de la arteria y la vena central de la retina.

Conclusión

La PAH es un hallazgo infrecuente, sin embargo, su presencia debe alertarnos de esta posible complicación durante la cirugía del cristalino.

Palabras clave:
Arteria hialoidea persistente
Cirugía de catarata
Oclusión arteria central de la retina
Oclusión vena central de la retina
Oclusión combinada de arteria y vena central de la retina

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