University of Iowa Health Care

Ophthalmology and Visual Sciences

Branch Retinal Artery Occlusion (BRAO)

Contributor: Ryan J. Diel, MD; Zachary Mortensen, MD; A. Tim Johnson, MD

Photographer: Antoinette Venckus

Posted January 30, 2020

color fundus ou

Figure 1: 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 (OCT)

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.


Contributor: John J. Chen, MD, PhD, The University of Iowa

Photographer: Cindy Montague, CRA

posted 8/3/2012

Branch Retinal Artery Occlusion

Figure 1

Image Comments

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.

Branch Retinal Artery Occlusion, 1 month later

Figure 2

Image Comments

1 month later, the retinal whitening and edema resolved (Figure 2), but she still had a residual inferonasal visual field defect of the right eye (Figure 3, Goldmann Visual Field).

Branch Retinal Artery Occlusion, Goldmann Visual Field

Figure 3


Contributor: Andrew Doan, MD, PhD, University of Iowa

Submitted June 2004

branch retinal artery occlusion (BRAO)

Arrow denotes emboli in inferior arteriole.


Contributor: Armand P. Fasano, MD, New Jersey, Private Practice

Revised Feb 2008

BRAO (Branched Retinal Artery Occlusion)

Here, multiple yellowish refractile bodies can be seen scattered throughout the arteriols in the superior arcuate region.

No one may use these photographs for financial gain without written authorization from the contributor.

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

last updated: 1-30-2020
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