Abstract
A 46-year-old female with preoperative vision 6/18 N18 (LogMar 0.5) in re and posterior subcapsular cataract underwent an uneventful phacoemulsification surgery under a peribulbar block. On the postoperative day 2, she complained of no visual gain in the operated eye. The reported vision was counting fingers close to the face. Through multimodal imaging (MMI), a diagnosis of branched retinal artery occlusion (BRAO) was made. A detailed consultation and history taking with the patient revealed a concealed history of four miscarriages in the past. A detailed systemic blood workup revealed antiphospholipid antibody (APLA) positive. BRAO postuneventful cataract surgery is a devasting outcome for the surgeon and patient undergoing surgery. The report focuses on the importance of taking detailed past medical history and usage of MMI early to rule out and diagnose unexpected scenarios. We suggest BRAO in our patient was a result of emboli formation, which is a common element in APLA-positive patients.
Keywords
Subject
Publication details
- DOI
- 10.4103/ojo.ojo_302_22
- Journal
- Oman Journal of Ophthalmology, 16(2), 351-354
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Bhatia, G., Kumar, S., Shroff, D., & Gupta, P. (2023). A case of branch retinal artery occlusion postcataract surgery in an antiphospholipid syndrome patient. Oman Journal of Ophthalmology, 16(2), 351-354. https://doi.org/10.4103/ojo.ojo_302_22
MLA 9
Bhatia, Gagan, et al. "A case of branch retinal artery occlusion postcataract surgery in an antiphospholipid syndrome patient." Oman Journal of Ophthalmology, vol. 16, no. 2, 2023, pp. 351-354. https://doi.org/10.4103/ojo.ojo_302_22.
Chicago (author–date)
Bhatia, Gagan, Sandeep Kumar, Daraius Shroff, and Priyanka Gupta. 2023. "A case of branch retinal artery occlusion postcataract surgery in an antiphospholipid syndrome patient." Oman Journal of Ophthalmology 16 (2): 351-354. https://doi.org/10.4103/ojo.ojo_302_22.
Harvard
Bhatia, G., Kumar, S., Shroff, D. and Gupta, P. (2023) 'A case of branch retinal artery occlusion postcataract surgery in an antiphospholipid syndrome patient', Oman Journal of Ophthalmology, 16(2), pp. 351-354. doi:10.4103/ojo.ojo_302_22.
Vancouver
Bhatia G, Kumar S, Shroff D, Gupta P. A case of branch retinal artery occlusion postcataract surgery in an antiphospholipid syndrome patient. Oman Journal of Ophthalmology. 2023;16(2):351-354. doi:10.4103/ojo.ojo_302_22
IEEE
G. Bhatia, S. Kumar, D. Shroff, and P. Gupta, "A case of branch retinal artery occlusion postcataract surgery in an antiphospholipid syndrome patient," Oman Journal of Ophthalmology, vol. 16, no. 2, pp. 351-354, 2023, doi: 10.4103/ojo.ojo_302_22.