Presenting Author - Dr. Prajakta Patil, Co Author - Dr. Rohit Modi, Dr. Gaurav Shah.

1. Dr. Gaurav Y. Shah 1,2,3,4, Dr. Rohit Modi 5,
Dr. Prajakta Chaudhary4
Retina & Uvea Services
1. EYE LIFE - Khar, 2. LILAVATI – Bandra,
3. NETRA MANDIR – Borivali, 4. Bachooali – Parel
5. GOKULDHAM - Goregaon

2. Materials and Methods
• 50 years old male patient
• C/O decreased vision of 4 hours duration
in right eye

3. Cattle tracking of branch
retinal artery
Embolus blocking the filling of artery

4. • Diagnosis : Branch retinal artery occlusion
• Patient underwent immediate anterior
chamber paracentesis.

5. AC paracentesis

6. After paracentesis embolus dislodged
Refilling of the artery is noted immediately

7. Discussion
• BRAOs are thought to represent 38% of all
acute retinal artery obstructions.1
• BRAOs typically occur at vessel bifurcations
• 98% of the time the temporal vessels are
affected .
• Emboli are visible 62% of the time.2

8. • The visual prognosis in eyes with
symptomatic BRAO is generally good.
• Visual acuity usually improves to 20/40 or
better in 80% of eyes.3
• Significant visual recovery has been
reported up to 72 hours after the occlusive
event.
• Visual prognosis tends to worsen with
increasing duration of the visual symptoms.4

9. The potential benefits of paracentesis
(1)Dramatic drop in IOP
(2)Dilatation of the retinal arteries because
of the vascular tortuosity resulting from
distortion of the globe.
(3)Decreasing IOP & thus increasing retinal
perfusion pressure. 5

10. Conclusion
• Early intervention and paracentesis for
acute decompression of anterior chamber
prevents irreversible loss of visual acuity
due to BRAO

11. References
1.Brown GC, Shields JA. Cilioretinal arteries and retinal arterial
occlusion. Arch Ophthalmol (Chicago, Ill 1960) 1979
;97(1):84–92.
2. Ros MA, Magargal LE, Uram M. Branch retinal-artery
obstruction: a review of 201 eyes. Ann Ophthalmol 1989
[cited 2015 Sep 27];21(3):103–7.
3. Brown GC, Magargal LE, Shields JA, Goldberg RE, Walsh
PN. Retinal arterial obstruction in children and young adults.
Ophthalmology 1981;88(1):18–25.
4. Augsburger JJ, Magargal LE. Visual prognosis following
treatment of acute central retinal artery obstruction. Br J
Ophthalmol 1980 ;64(12):913–7.
5. Ffytche TJ, Bulpitt CJ, Kohner EM, Archer D, Dollery CT.
Effect of changes in intraocular pressure on the retinal
microcirculation. Br J Ophthalmol 1974 ;58(5):514–22

12. Thank You
Dr. Gaurav Y. Shah 1,2,3,4, Dr. Rohit Modi 5,
Dr. Prajakta Chaudhury 4
Retina & Uvea Services
1. EYE LIFE - Khar, 2. LILAVATI – Bandra,
3. NETRA MANDIR – Borivali, 4. Bachooali – Parel
5. GOKULDHAM - Goregaon
gyseye@yahoo.com