This site uses tracking information. Visit our privacy policy. Click to agree to this policy and not see this again.

Ophthalmology and Visual Sciences

Branch Retinal Artery Occlusion (BRAO)

Branch Retinal Artery Occlusion (BRAO)

Category(ies): Retina, Vitreous
Contributor: Ryan J. Diel, MD; Zachary Mortensen, MD; A. Tim Johnson, MD
Photographer: Antoinette Venckus, CRA
Posted January 30, 2020

fundus image
Color fundus photograph of both eyes of a 79 year-old male presenting with acute onset left eye vision loss of the superior-nasal quadrant. The right eye (left side image) demonstrates an epiretinal membrane nasal to the fovea. The left eye (right side image) demonstrates a yellow plaque (indicated by the white arrow) lodged within the inferior retinal artery overlying the optic disc. Diffuse areas of retinal whitening can be seen distal to this occlusion tracking along the inferior arcade. Optic nerve heads are magnified in the lower right corner of each image.
goldmann visual field
Figure 2: Goldmann visual field of both eyes. The left eye visual field (left side image) demonstrates a superiornasal scotoma which corresponds to the above mentioned Hollenhorst plaque. The right eye visual field is grossly normal.
optical coherence tomography
Figure 3: Optical coherence tomography (OCT) of both eyes. The right eye (left side image) is notable for the presence of an epiretinal membrane. The left eye (right side image) is significant for diffuse inner retina edema and thickening along the inferior arcade.

Previous entries

Contributors: John J. Chen, MD, PhD; Andrew Doan, MD, PhD; Armand P. Fasano, MD, New Jersey, Private Practice
Photographer: Cindy Montague, CRA
fundus image
Figure 1: 31-year-old female presented with an acute onset inferonasal visual field defect in the right eye and found to have a superior branch retinal artery occlusion (Figure 1). No emboli or Hollenhorst plaques were seen in either eye. Workup included an EKG, carotid doppler, cardiac echo, ANA, ACE, RF, CBC, PT/PTT, anticardiolipin ab, RPR, ANCA, ESR/CRP, which were all negative. (Chen, 2012)
fundus image
Figure 2: 1 month later, the retinal whitening and edema resolved. (Chen, 2012)
goldmann visual field
Figure 3: Residual inferonasal visual field defect of the right eye. (Chen, 2012)
Figure 4: Arrow denotes emboli in inferior arteriole. (Doan, 2004)
Figure 5: Here, multiple yellowish refractile bodies can be seen scattered throughout the arteriols in the superior arcuate region.(Fasano)

Image Permissions:
Creative Commons

Ophthalmic Atlas Images by, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.