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October 1997

Congenital Communication of Cilioretinal and Retinal Arteries Associated With Angioid Streaks

Author Affiliations

Monastir, Tunisia

Arch Ophthalmol. 1997;115(10):1328-1329. doi:10.1001/archopht.1997.01100160498023

Communications between the ciliary and retinal circulations have been described in association with central retinal artery occlusion,1,2 meningioma of the optic nerve,1 and op-tic disc drusen.3 We examined a patient with angioid streaks and pseudoxanthoma elasticum who had a congenital communication between cilioretinal and retinal arteries.

Report of a Case.  A 35-year-old woman was examined for decreased vision in the left eye. Her best-corrected visual acuity was 20/20 OD and 20/200 OS. Results of a slit-lamp examination were normal and intraocular pressures by applanation tonometry were 14 mm Hg bilaterally. Ophthalmoscopy disclosed bilateral angioid streaks with associated peau d'orange pigmentary change. In the right eye, a cilioretinal artery coursing inferior and then temporal to the fovea communicated directly with a superotemporal branch retinal artery (Figure 1). Fluorescein angiography confirmed that angioid streaks were present (Figure 2). It showed retrograde filling of the cilioretinal artery from the superotemporal

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