Sage Journals: Discover world-class research

Abstract

Introduction

Congenital arterial peripapillary loops are rare entities and very few cases are described in literature.

Case description

A 25-year-old Asian man presented a diffuse vitreous hemorrhage in his Left Eye (LE). OCT-A revealed the presence of bilateral vascular loops at the optic nerve head. Fluorescein angiography (FA) confirmed the vascular abnormality in both eyes, with arterial filling in early phases and no dye leakage. At twenty days of follow up, the vitreous hemorrhage in the LE completely reabsorbed and BCVA improved from 20/63 to 20/20.

Conclusion

Congenital peripapillary loops should be considered in the differential diagnosis of vitreous hemorrhage, especially in young patients with no history of ocular/head trauma. Multimodal imaging is highly recommended to properly manage the patients, avoiding unnecessary therapeutic choices.

Keywords

Genetic disease / congenital abnormalities < PEDIATRIC OPHTHALMOLOGY congenital and stationary retinal disease < RETINA vitreous / retinal disease < PEDIATRIC OPHTHALMOLOGY anatomy/Biochemistry/Physiology < RETINA developmental abnormalities of vitreous < VITREOUS / ENDOPHTHALMITIS

Get full access to this article

View all access options for this article.

References

Heimann

Damato

. Congenital vascular malformations of the retina and choroid. Eye (Lond) 2010; 24: 459–467.

Soltau

Olk

Gordon

. Prepapillary arterial loop associated with vitreous hemorrhage and venous retinal macrovessel. Retina 1996; 16: 74–75.

Shakin

Shields

Augsburger

, et al. Clinicopathologic correlation of a prepapillary vascular loop. Retina 1988; 8: 55–58.

Hsieh

Yang

. The clinical study of congenital looped/coiled peripapillary retinal vessels. Eye (Lond) 2005; 19: 906–909.

Mireskandari

Bentley

. Bilateral prepapillary loops with unilateral branch retinal artery occlusion following thrombus at the loop apex. Retina 2001; 21: 66–67.

Grossniklaus

Thall

Annable

. Familial prepapillary vascular loops. Arch Ophthalmol 1986; 104: 1755–1756.

Lambert

Sipperley

Shacklett

. Autosomal dominant preretinal vascular loops. Retina 1983; 3: 258–260.

Degenhart

Brown

Augsburger

, et al. Prepapillary vascular loops. Ophthalmology 1981; 88: 1126–1131.

Limaye

Tang

Pilkerton

. Cilioretinal circulation and branch arterial occlusion associated with preretinal arterial loops. Am J Ophthalmol 1980; 89: 834–839.

10.

Brucker

Michels

Fine

. Congenital retinal arterial loops and vitreous hemorrhage. Am J Ophthalmol 1977; 84: 220–223.

Multimodal imaging of congenital peri-papillary arterial loops presenting with vitreous hemorrage in a young male: A case report